DIANE L WALTON - Dentist License in Illinois | # 020003968

DIANE L WALTON

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003968

License Status

NOT RENEWED

Business

N

First Name

DIANE L

Last Name

WALTON

Business Name

DIANE L WALTON

Original Issue Date

08/14/1979

Effective Date

08/14/1979

Expiration Date

04/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005