JAMES RONALD HAVERA DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000368

License Status

INACTIVE

Business

First Name

JAMES RONALD

Last Name

HAVERA

Suffix

DDS

Business Name

JAMES RONALD HAVERA DDS

Original Issue Date

11/21/1962

Effective Date

11/21/1962

Expiration Date

09/30/1996

City

PEKIN

State

Zip

61554

County

TAZEWELL

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/13/2005