DAVID ALEXANDER FRANCIS IV DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000064

License Status

NOT RENEWED

Business

Title

DDS

First Name

DAVID

Middle

ALEXANDER

Last Name

FRANCIS

Suffix

Business Name

DAVID ALEXANDER FRANCIS IV DDS

Original Issue Date

01/01/1998

Effective Date

07/09/2012

Expiration Date

09/30/2015

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

02/08/2016