JENNY M LEE-WALLE - Dentist License in Oregon | # 019021805

JENNY M LEE-WALLE

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021805

License Status

NOT RENEWED

Business

N

First Name

JENNY M

Last Name

LEE-WALLE

Business Name

JENNY M LEE-WALLE

Original Issue Date

10/14/1989

Effective Date

10/14/1989

Expiration Date

09/30/1996

State

OR

Ever Disciplined

N

LastModifiedDate

10/12/2005