CHARLES JOSEPH WEST DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026931

License Status

NOT RENEWED

Business

Title

DDS

First Name

CHARLES

Middle

JOSEPH

Last Name

WEST

Business Name

CHARLES JOSEPH WEST DDS

Original Issue Date

01/12/2006

Effective Date

07/09/2009

Expiration Date

09/30/2012

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

11/14/2012