Ladawnielle Jean Wallace
ActiveIllinois license 020010240
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020010240
- Status
- Active
- First issued
- February 15, 2002
- Expires
- September 30, 2027
- License holder
- Ladawnielle Jean Wallace
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 08/31/2024
Contact
Marion, IL 62959
Williamson County