LAWRENCE C WALLEN JR DDS - Dentist License in Illinois | # 019016985

LAWRENCE C WALLEN JR DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016985

License Status

NOT RENEWED

Business

N

First Name

LAWRENCE C

Last Name

WALLEN JR

Suffix

DDS

Business Name

LAWRENCE C WALLEN JR DDS

Original Issue Date

10/04/1979

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2010