NAI ANNIE WALTER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

NOT RENEWED

Business

First Name

NAI ANNIE

Last Name

WALTER

Suffix

DDS

Business Name

NAI ANNIE WALTER DDS

Original Issue Date

07/08/1997

Effective Date

08/09/2018

Expiration Date

01/31/2022

City

BURR RIDGE

State

Zip

60527

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022