DONALD WAYNE WILCOX DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010046

License Status

INACTIVE

Business

First Name

DONALD WAYNE

Last Name

WILCOX

Suffix

DDS

Business Name

DONALD WAYNE WILCOX DDS

Original Issue Date

08/12/1952

Effective Date

08/12/1952

Expiration Date

09/30/1990

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/12/2005