MAX LEE BOTTRELL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012140

License Status

NOT RENEWED

Business

First Name

MAX LEE

Last Name

BOTTRELL

Suffix

DDS

Business Name

MAX LEE BOTTRELL DDS

Original Issue Date

09/12/1962

Effective Date

09/12/1962

Expiration Date

09/30/1988

City

PLATTEVILLE

State

Zip

53818

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005