NEIL M WALLE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021731

License Status

NOT RENEWED

Business

First Name

NEIL M

Last Name

WALLE

Business Name

NEIL M WALLE

Original Issue Date

09/16/1989

Effective Date

09/16/1989

Expiration Date

09/30/1996

City

KLAMATH FALLS

State

Zip

97603

County

OREGON

Ever Disciplined

LastModifiedDate

10/12/2005