RICHARD KIETH WALTER DDS - Dentist License in Illinois | # 019012278

RICHARD KIETH WALTER DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012278

License Status

INACTIVE

Business

N

First Name

RICHARD KIETH

Last Name

WALTER

Suffix

DDS

Business Name

RICHARD KIETH WALTER DDS

Original Issue Date

07/25/1963

Effective Date

07/25/1963

Expiration Date

09/30/1996

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005