WALTER R DIAS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

First Name

WALTER

Middle

Last Name

DIAS

Suffix

DDS

Business Name

WALTER R DIAS DDS

Original Issue Date

09/22/2008

Effective Date

09/22/2008

Expiration Date

09/30/2009

City

AURORA

State

Zip

60504

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009