GINA M WALCH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007883

License Status

NOT RENEWED

Business

First Name

GINA M

Last Name

WALCH

Business Name

GINA M WALCH

Original Issue Date

12/18/1992

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/08/2007