WARREN PARKER WATERS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014502

License Status

NOT RENEWED

Business

First Name

WARREN PARKER

Last Name

WATERS

Suffix

DDS

Business Name

WARREN PARKER WATERS DDS

Original Issue Date

12/13/1972

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

01/08/2010