WILLIAM KARL VANDERWAAL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013693

License Status

NOT RENEWED

Business

First Name

WILLIAM KARL

Last Name

VANDERWAAL

Suffix

DDS

Business Name

WILLIAM KARL VANDERWAAL DDS

Original Issue Date

07/14/1969

Effective Date

10/06/2021

Expiration Date

09/30/2024

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

02/04/2025