LAWRENCE C WALLEN JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

First Name

LAWRENCE C

Last Name

WALLEN JR

Suffix

DDS

Business Name

LAWRENCE C WALLEN JR DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

WILMINGTON

State

Zip

60481

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005