DONALD WALTER BENTLEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011323

License Status

NOT RENEWED

Business

First Name

DONALD WALTER

Last Name

BENTLEY

Business Name

DONALD WALTER BENTLEY

Original Issue Date

08/13/1958

Effective Date

08/13/1958

Expiration Date

09/30/1988

City

HAYWARD

State

Zip

54843

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005