License Directory

Denise Desiree Wallis

Active

California license A121874

License

Licensed by
Medical Board of California
License number
A121874
Status
Active (Current)
First issued
June 29, 2012
Expires
December 31, 2027
License holder
Denise Desiree Wallis
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

7918 Jones Branch Dr
#274
McLean, VA 22102
Fairfax County