GRANT D WALTON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000278

License Status

NOT RENEWED

Business

First Name

GRANT

Middle

Last Name

WALTON

Business Name

GRANT D WALTON

Original Issue Date

07/07/1988

Effective Date

07/07/1988

Expiration Date

07/06/1990

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/12/2005