DAVID HENRY CLEVEN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000618

License Status

INACTIVE

Business

Title

DDS

First Name

DAVID

Middle

HENRY

Last Name

CLEVEN

Business Name

DAVID HENRY CLEVEN DDS

Original Issue Date

12/08/1969

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

06/04/2009