NEAL WALLACE ROLLER DDS - Dentist License in Illinois | # 019013669

NEAL WALLACE ROLLER DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013669

License Status

INACTIVE

Business

N

First Name

NEAL WALLACE

Last Name

ROLLER

Suffix

DDS

Business Name

NEAL WALLACE ROLLER DDS

Original Issue Date

07/14/1969

Effective Date

11/03/2021

Expiration Date

09/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

05/01/2024