LANNY RICHARD WALKER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

NOT RENEWED

Business

First Name

LANNY RICHARD

Last Name

WALKER

Suffix

DDS

Business Name

LANNY RICHARD WALKER DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

ROUND LAKE

State

Zip

60073

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005