DONALD L STORM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013995

License Status

NOT RENEWED

Business

First Name

DONALD L

Last Name

STORM

Suffix

DDS

Business Name

DONALD L STORM DDS

Original Issue Date

12/07/1970

Effective Date

12/07/1970

City

RICE LAKE

State

Zip

54868

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005