NEIL M WALLE - Dentist License in Oregon | # 019021731

NEIL M WALLE

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021731

License Status

NOT RENEWED

Business

N

First Name

NEIL M

Last Name

WALLE

Business Name

NEIL M WALLE

Original Issue Date

09/16/1989

Effective Date

09/16/1989

Expiration Date

09/30/1996

State

OR

Ever Disciplined

N

LastModifiedDate

10/12/2005