ALAN S WAITLEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012204

License Status

NOT RENEWED

Business

First Name

ALAN S

Last Name

WAITLEY

Suffix

DDS

Business Name

ALAN S WAITLEY DDS

Original Issue Date

03/13/1963

Effective Date

03/13/1963

Expiration Date

09/30/1994

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005