JEFFREY M WALTON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025586

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

WALTON

Business Name

JEFFREY M WALTON

Original Issue Date

07/10/2001

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

11/08/2006