WALTER Q BOWLIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000417

License Status

NOT RENEWED

Business

First Name

WALTER

Middle

Last Name

BOWLIN

Prefix

Business Name

WALTER Q BOWLIN

Original Issue Date

05/23/1990

Effective Date

05/23/1990

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005