JENNY M LEE-WALLE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021805

License Status

NOT RENEWED

Business

First Name

JENNY M

Last Name

LEE-WALLE

Business Name

JENNY M LEE-WALLE

Original Issue Date

10/14/1989

Effective Date

10/14/1989

Expiration Date

09/30/1996

City

KLAMATH FALLS

State

Zip

97603

County

OREGON

Ever Disciplined

LastModifiedDate

10/12/2005