Kenneth Gregg Wallis
ExpiredCalifornia license 34914
License
- Licensed by
- Dental Board of California
- License number
- 34914
- Status
- Expired (Delinquent)
- First issued
- August 1, 1986
- Expired
- July 31, 2025
- License holder
- Kenneth Gregg Wallis
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
265 Crestview Dr
Santa Clara, CA 95050-6503
Santa Clara, CA 95050-6503
Santa Clara County