RICHARD ALEXANDE EWALD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000707

License Status

NOT RENEWED

Business

First Name

RICHARD ALEXANDE

Last Name

EWALD

Suffix

DDS

Business Name

RICHARD ALEXANDE EWALD DDS

Original Issue Date

12/06/1971

Effective Date

09/11/2012

Expiration Date

09/30/2015

City

OTTAWA

State

Zip

61350

County

LA SALLE

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018