WILLIAM L WALL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012104

License Status

NOT RENEWED

Business

First Name

WILLIAM L

Last Name

WALL

Suffix

DDS

Business Name

WILLIAM L WALL DDS

Original Issue Date

08/06/1962

Effective Date

07/05/2018

Expiration Date

01/31/2022

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

05/09/2022