ANNMARIE IRENE WALSH DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

CANCELLED

Business

First Name

ANNMARIE

Middle

IRENE

Last Name

WALSH

Suffix

DDS

Business Name

ANNMARIE IRENE WALSH DDS

Original Issue Date

05/18/2005

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

06/04/2009