Richard Kieth Walter Dds
InactiveIllinois license 019012278
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019012278
- Status
- Inactive
- First issued
- July 25, 1963
- Expired
- September 30, 1996
- License holder
- Richard Kieth Walter Dds
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 07/25/1963
Other Illinois licenses under this name
-
IL
ExpiredRockford, ILExpired Sep 30, 1996
Contact
Rockford, IL 61107
Winnebago County