WILLIAM JOSEPH WATERS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000606

License Status

NOT RENEWED

Business

First Name

WILLIAM JOSEPH

Last Name

WATERS

Business Name

WILLIAM JOSEPH WATERS

Original Issue Date

11/13/2003

Effective Date

12/07/2015

Expiration Date

09/30/2018

City

TROY

State

Zip

62294

County

MADISON

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

10/31/2018