PAUL DOUGLAS DAVIS DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014546

License Status

INACTIVE

Business

First Name

PAUL DOUGLAS

Last Name

DAVIS

Suffix

DDS

Business Name

PAUL DOUGLAS DAVIS DDS

Original Issue Date

07/11/1973

Effective Date

06/19/2012

Expiration Date

09/30/2015

City

PETERSBURG

State

Zip

62675

County

MENARD

Ever Disciplined

LastModifiedDate

06/08/2015