GRANT D WALTON - Dentist License in Illinois | # 018000278

GRANT D WALTON

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000278

License Status

NOT RENEWED

Business

N

First Name

GRANT

Middle

D

Last Name

WALTON

Business Name

GRANT D WALTON

Original Issue Date

07/07/1988

Effective Date

07/07/1988

Expiration Date

07/06/1990

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005