WILLIS WALTER WICK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011961

License Status

NOT RENEWED

Business

First Name

WILLIS WALTER

Last Name

WICK

Suffix

DDS

Business Name

WILLIS WALTER WICK DDS

Original Issue Date

08/02/1961

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

SHEBOYGAN

State

Zip

53083

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/08/2006