Walter Donald Maddox
InactiveIllinois license 31*****83
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 31*****83
- Status
- Inactive (Cancelled)
- First issued
- August 23, 2004
- Expired
- September 30, 2006
- License holder
- Walter Donald Maddox
- 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
- 08/23/2004
Other Illinois licenses under this name
-
IL
InactiveKankakee, ILExpired Sep 30, 2006
-
IL
InactiveKankakee, ILExpired Sep 30, 1998
-
IL
InactiveKankakee, ILExpired Sep 30, 1996
-
IL
ExpiredKankakee, ILExpired Sep 30, 1998
Contact
Dwight, IL 60420
Livingston County