KELLY RENE WALKER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

ACTIVE

Business

Title

DMD

First Name

KELLY

Middle

RENE

Last Name

WALKER

Business Name

KELLY RENE WALKER DMD

Original Issue Date

11/10/2022

Effective Date

07/10/2024

Expiration Date

09/30/2027

City

WILMINGTON

State

Zip

60481

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2024