CHRISTOPHER R WALSH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

Last Name

WALSH

Business Name

CHRISTOPHER R WALSH

Original Issue Date

07/14/2009

Effective Date

07/14/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012