WALTER ALLEN GILLIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

NOT RENEWED

Business

First Name

WALTER ALLEN

Last Name

GILLIN

Suffix

DDS

Business Name

WALTER ALLEN GILLIN DDS

Original Issue Date

04/13/1982

Effective Date

04/13/1982

Expiration Date

09/30/1992

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005