DENNIS J WALTERS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

Title

DDS

First Name

DENNIS

Middle

Last Name

WALTERS

Business Name

DENNIS J WALTERS DDS

Original Issue Date

04/28/1993

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

STOCKTON

State

Zip

61085

County

JO DAVIESS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009