Samuel Moore Wallden Dmd

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019030757

Status

Active

First issued

June 23, 2016

Expires

September 30, 2027

License holder

Samuel Moore Wallden

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

06/03/2024

Other Illinois licenses under this name

• IL
  Samuel Moore Wallden Dmd

  License 31*****61 · Samuel Moore Wallden

  Licensed Dentist Controlled Substance (Dental)
  Active

  Rockford, IL

  Expires Sep 30, 2027

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