License Directory

Samuel Moore Wallden Dmd

Active

Illinois license 31*****61

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
31*****61
Status
Active
First issued
June 23, 2016
Expires
September 30, 2027
License holder
Samuel Moore Wallden
Entity type
Individual

Classifications

  • Licensed Dentist Controlled Substance (Dental) Dental

More from the license record

Controlled substance schedules
II III IV V
Current term began
06/03/2024

Other Illinois licenses under this name

  • IL
    Samuel Moore Wallden Dmd
    License 019030757 · Samuel Moore Wallden
    Licensed Dentist (Dental)
    Active
    Rockford, IL
    Expires Sep 30, 2027

Contact

Rockford, IL 61114
Winnebago County