WALTER KELLEY FARRIS - Dentist License in Illinois | # 019032072

WALTER KELLEY FARRIS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032072

License Status

ACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

08/29/2024