JENNY M LEE-WALLE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000341

License Status

NOT RENEWED

Business

First Name

JENNY M

Last Name

LEE-WALLE

Business Name

JENNY M LEE-WALLE

Original Issue Date

06/06/1989

Effective Date

06/06/1989

Expiration Date

06/30/1991

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

10/12/2005