ANN E WALLYN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003606

License Status

NOT RENEWED

Business

First Name

ANN E

Last Name

WALLYN

Business Name

ANN E WALLYN

Original Issue Date

07/11/1978

Effective Date

07/11/1978

Expiration Date

09/30/1986

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005