WALTER TATCH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

ACTIVE

Business

First Name

WALTER

Last Name

TATCH

Suffix

DDS

Business Name

WALTER TATCH DDS

Original Issue Date

04/25/2000

Effective Date

06/03/2024

Expiration Date

09/30/2027

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2024