Keith D Davis Dds
InactiveIllinois license 019013586
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019013586
- Status
- Inactive
- First issued
- July 14, 1969
- Expired
- September 30, 1990
- License holder
- Keith D Davis Dds
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 07/14/1969
Contact
Brookfield, WI 53005
Wisconsin County