ANNMARIE IRENE WALSH DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026679

License Status

INACTIVE

Business

First Name

ANNMARIE

Middle

IRENE

Last Name

WALSH

Suffix

DDS

Business Name

ANNMARIE IRENE WALSH DDS

Original Issue Date

04/12/2005

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

BROOKFIELD

State

Zip

53045

County

WISCONSIN

Ever Disciplined

LastModifiedDate

06/04/2009