DAVID JAY MYERS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000578

License Status

NOT RENEWED

Business

First Name

DAVID JAY

Last Name

MYERS

Suffix

DDS

Business Name

DAVID JAY MYERS DDS

Original Issue Date

12/19/1968

Effective Date

09/24/2009

Expiration Date

09/30/2012

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

11/14/2012