EUGENE ALLEN DEWEERTH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011951

License Status

NOT RENEWED

Business

First Name

EUGENE ALLEN

Last Name

DEWEERTH

Suffix

DDS

Business Name

EUGENE ALLEN DEWEERTH DDS

Original Issue Date

08/02/1961

Effective Date

08/02/1961

Expiration Date

09/30/2004

City

MENDOTA

State

Zip

61342

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/17/2005