SPENCER WALLACE WALKER Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028598

License Status

INACTIVE

Business

First Name

SPENCER

Middle

WALLACE

Last Name

WALKER

Business Name

SPENCER WALLACE WALKER

Original Issue Date

05/24/2011

Effective Date

05/24/2011

Expiration Date

09/30/2012

City

WATERLOO

State

Zip

50701

Ever Disciplined

LastModifiedDate

06/06/2012