DONALD M SANDERCOCK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012437

License Status

NOT RENEWED

Business

First Name

DONALD M

Last Name

SANDERCOCK

Suffix

DDS

Business Name

DONALD M SANDERCOCK DDS

Original Issue Date

06/12/1964

Effective Date

06/12/1964

Expiration Date

04/01/1982

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/12/2005