DAVID ALAN MERRELL - Dentist License in Illinois | # 019027453

DAVID ALAN MERRELL

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027453

License Status

NOT RENEWED

Business

N

First Name

DAVID

Middle

ALAN

Last Name

MERRELL

Business Name

DAVID ALAN MERRELL

Original Issue Date

07/09/2007

Effective Date

07/09/2007

Expiration Date

09/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2010