ALVIN EZRA DAVIS DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019008095

License Status

INACTIVE

Business

First Name

ALVIN EZRA

Last Name

DAVIS

Suffix

DDS

Business Name

ALVIN EZRA DAVIS DDS

Original Issue Date

09/03/1940

Effective Date

09/03/1940

Expiration Date

09/30/1990

City

PETERSBURG

State

Zip

62675

County

MENARD

Ever Disciplined

LastModifiedDate

10/12/2005