WALTER B BUSSE DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014809

License Status

INACTIVE

Business

First Name

WALTER B

Last Name

BUSSE

Suffix

DDS

Business Name

WALTER B BUSSE DDS

Original Issue Date

07/17/1974

Effective Date

06/07/2018

Expiration Date

12/31/2021

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

12/29/2021