GENE Z WALCHIRK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

First Name

GENE Z

Last Name

WALCHIRK

Business Name

GENE Z WALCHIRK

Original Issue Date

09/23/1988

Effective Date

09/23/1988

Expiration Date

09/30/1990

City

RIVERSIDE

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005