WALTER B STANFORD DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

ACTIVE

Business

First Name

WALTER B

Last Name

STANFORD

Suffix

DDS

Business Name

WALTER B STANFORD DDS

Original Issue Date

08/24/1987

Effective Date

08/23/2024

Expiration Date

09/30/2027

City

FLOSSMOOR

State

Zip

60422

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/23/2024