Michael P Wallace Dmd

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019018736

Status

Expired (Not Renewed)

First issued

August 2, 1983

Expired

September 30, 2000

License holder

Michael P Wallace Dmd

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

08/02/1983

Other Illinois licenses under this name

• IL
  Michael P Wallace Dmd

  License 31*****27

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Effingham, IL

  Expired Sep 30, 1984

Contact