KENNETH HERBERT WALTER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012324

License Status

NOT RENEWED

Business

First Name

KENNETH HERBERT

Last Name

WALTER

Suffix

DDS

Business Name

KENNETH HERBERT WALTER DDS

Original Issue Date

08/02/1963

Effective Date

08/02/1963

Expiration Date

09/30/1994

City

APPLETON

State

Zip

54911

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005