Thomas J Wallen Dds
InactiveIllinois license 019014175
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019014175
- Status
- Inactive
- First issued
- July 8, 1971
- Expired
- September 30, 2009
- License holder
- Thomas J Wallen Dds
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 10/01/2006
Other Illinois licenses under this name
-
IL
ExpiredExpired Jun 1, 1982
Contact
Crystal Lake, IL 60012
McHenry County