CHARLES RUSSELL SHOWALTER JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013679

License Status

NOT RENEWED

Business

First Name

CHARLES RUSSELL

Last Name

SHOWALTER JR

Suffix

DDS

Business Name

CHARLES RUSSELL SHOWALTER JR DDS

Original Issue Date

07/14/1969

Effective Date

07/11/2012

Expiration Date

09/30/2015

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/08/2016