LEROY ATHELSTON WORRELL DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016637

License Status

INACTIVE

Business

First Name

LEROY ATHELSTON

Last Name

WORRELL

Suffix

DDS

Business Name

LEROY ATHELSTON WORRELL DDS

Original Issue Date

04/27/1979

Effective Date

04/27/1979

Expiration Date

09/30/1990

City

MATTAPAN

State

Zip

02126

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

10/12/2005