DALE J DAVIS DDS - Dentist License in Illinois | # 021001704

DALE J DAVIS DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001704

License Status

NOT RENEWED

Business

N

First Name

DALE J

Last Name

DAVIS

Suffix

DDS

Business Name

DALE J DAVIS DDS

Original Issue Date

09/08/1994

Effective Date

09/08/1994

Expiration Date

09/30/1996

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/13/2005