HAROLD D WALLIN DS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000850

License Status

NOT RENEWED

Business

First Name

HAROLD

Middle

Last Name

WALLIN

Suffix

JR DDS

Business Name

HAROLD D WALLIN DS

Original Issue Date

06/27/1995

Effective Date

06/27/1995

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005