ANNETTE M ALFORD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000887

License Status

NOT RENEWED

Business

First Name

ANNETTE M

Last Name

ALFORD

Business Name

ANNETTE M ALFORD

Original Issue Date

08/26/1995

Effective Date

08/26/1995

Expiration Date

06/30/1996

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/12/2005