FONTAINE KEVELL WALKER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025710

License Status

NOT RENEWED

Business

First Name

FONTAINE

Middle

KEVELL

Last Name

WALKER

Suffix

DDS

Business Name

FONTAINE KEVELL WALKER DDS

Original Issue Date

10/31/2001

Effective Date

10/31/2001

Expiration Date

09/30/2004

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005