DOUGLAS ALAN DRAKE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009717

License Status

NOT RENEWED

Business

First Name

DOUGLAS ALAN

Last Name

DRAKE

Business Name

DOUGLAS ALAN DRAKE

Original Issue Date

08/16/1950

Effective Date

08/16/1950

Expiration Date

09/30/1994

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

10/12/2005