DALE ADDISON DRAKE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015991

License Status

NOT RENEWED

Business

First Name

DALE ADDISON

Last Name

DRAKE

Suffix

DDS

Business Name

DALE ADDISON DRAKE DDS

Original Issue Date

06/28/1977

Effective Date

09/18/2018

Expiration Date

01/31/2022

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

05/09/2022