HAROLD D WALLIN DS - Dentist License in Illinois | # 018000850

HAROLD D WALLIN DS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000850

License Status

NOT RENEWED

Business

N

First Name

HAROLD

Middle

D

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

State

IL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

10/12/2005