CLAY G VANDER WALL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002239

License Status

NOT RENEWED

Business

First Name

CLAY

Middle

Last Name

VANDER WALL

Suffix

DDS

Business Name

CLAY G VANDER WALL DDS

Original Issue Date

08/24/2007

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

MORRISVILLE

State

Zip

27560

Specialty/Qualifier

ORTHODONTICS

Ever Disciplined

LastModifiedDate

11/14/2012