WILLIAM KARL VANDERWAAL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000703

License Status

NOT RENEWED

Business

First Name

WILLIAM KARL

Last Name

VANDERWAAL

Suffix

DDS

Business Name

WILLIAM KARL VANDERWAAL DDS

Original Issue Date

12/06/1971

Effective Date

10/06/2021

Expiration Date

09/30/2024

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

ORTHODONTICS

Ever Disciplined

LastModifiedDate

02/04/2025