ALVIN DERRICK WEATHERFORD JR DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027512

License Status

INACTIVE

Business

First Name

ALVIN

Middle

DERRICK

Last Name

WEATHERFORD

Suffix

JR DDS

Business Name

ALVIN DERRICK WEATHERFORD JR DDS

Original Issue Date

08/31/2007

Effective Date

08/06/2018

Expiration Date

09/30/2021

City

CHARLESTON

State

Zip

29407

Ever Disciplined

LastModifiedDate

08/06/2018