WALTER KELLEY FARRIS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032072

License Status

ACTIVE

Business

First Name

WALTER

Middle

KELLEY

Last Name

FARRIS

Business Name

WALTER KELLEY FARRIS

Original Issue Date

05/21/2019

Effective Date

08/29/2024

Expiration Date

09/30/2027

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

08/29/2024