Douglas W Wallace Dds
ExpiredIllinois license 019017806
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019017806
- Status
- Expired (Not Renewed)
- First issued
- July 30, 1981
- Expired
- September 30, 1984
- License holder
- Douglas W Wallace Dds
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 07/30/1981
Contact
Forest Park, IL 60130
Cook County