F PETER WALL DDS - Dentist License in Illinois | # 021000494

F PETER WALL DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000494

License Status

NOT RENEWED

Business

N

First Name

F PETER

Last Name

WALL

Suffix

DDS

Business Name

F PETER WALL DDS

Original Issue Date

11/23/1965

Effective Date

11/23/1965

Expiration Date

09/30/1998

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/13/2005