ALLEN DALE FRY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012355

License Status

NOT RENEWED

Business

First Name

ALLEN DALE

Last Name

FRY

Suffix

DDS

Business Name

ALLEN DALE FRY DDS

Original Issue Date

08/20/1963

Effective Date

08/27/2009

Expiration Date

09/30/2012

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

11/14/2012