RENEE ANNE WALL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018596

License Status

NOT RENEWED

Business

First Name

RENEE ANNE

Last Name

WALL

Business Name

RENEE ANNE WALL

Original Issue Date

07/18/1983

Effective Date

07/18/1983

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005