DAVID R DEFOREST DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022214

License Status

ACTIVE

Business

Title

DDS

First Name

DAVID

Middle

Last Name

DEFOREST

Business Name

DAVID R DEFOREST DDS

Original Issue Date

09/11/1990

Effective Date

09/17/2024

Expiration Date

09/30/2027

City

OREGON

State

Zip

61061

County

OGLE

Ever Disciplined

LastModifiedDate

09/17/2024