WALTER DONALD HEINLEIN 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

WALTER DONALD

Last Name

HEINLEIN

Suffix

DDS

Business Name

WALTER DONALD HEINLEIN DDS

Original Issue Date

01/01/1998

Effective Date

06/06/2012

Expiration Date

09/30/2015

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

02/08/2016