GARY WAYNE EGGLESTON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029206

License Status

NOT RENEWED

Business

First Name

GARY

Middle

WAYNE

Last Name

EGGLESTON

Suffix

DDS

Business Name

GARY WAYNE EGGLESTON DDS

Original Issue Date

08/06/2012

Effective Date

12/24/2015

Expiration Date

09/30/2018

City

DAVENPORT

State

Zip

52807

County

IOWA

Ever Disciplined

LastModifiedDate

10/31/2018