CHARLES CLARK WILLHITE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025725

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

CLARK

Last Name

WILLHITE

Suffix

DMD

Business Name

CHARLES CLARK WILLHITE DMD

Original Issue Date

11/26/2001

Effective Date

09/23/2015

Expiration Date

09/30/2018

City

DALTON CITY

State

Zip

61925

County

MOULTRIE

Ever Disciplined

LastModifiedDate

10/31/2018