JOAN ELLEN WALSH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002661

License Status

NOT RENEWED

Business

First Name

JOAN ELLEN

Last Name

WALSH

Business Name

JOAN ELLEN WALSH

Original Issue Date

07/29/1975

Effective Date

07/29/2009

Expiration Date

09/30/2012

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

11/14/2012