LAWRENCE C WALLEN JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016985

License Status

NOT RENEWED

Business

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

City

WILMINGTON

State

Zip

60481

County

WILL

Ever Disciplined

LastModifiedDate

01/08/2010