IRWIN E WALLIS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019006097

License Status

NOT RENEWED

Business

First Name

IRWIN E

Last Name

WALLIS

Suffix

DDS

Business Name

IRWIN E WALLIS DDS

Original Issue Date

07/30/1930

Effective Date

07/30/1930

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005