WALTER TATCH DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001179

License Status

EXPIRED

Business

First Name

WALTER

Last Name

TATCH

Suffix

DDS

Business Name

WALTER TATCH DDS

Original Issue Date

07/12/1999

Effective Date

07/12/1999

Expiration Date

06/30/2003

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005