WALTER T PENDERGAST DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019001497

License Status

NOT RENEWED

Business

First Name

WALTER T

Last Name

PENDERGAST

Suffix

DDS

Business Name

WALTER T PENDERGAST DDS

Original Issue Date

01/01/1998

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005