Kevin R Wallace Dmd

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

31*****13

Status

Active

First issued

April 4, 1991

Expires

September 30, 2027

License holder

Kevin R Wallace Dmd

Entity type

Individual

Classifications

• Licensed Dentist Controlled Substance (Dental) Dental

More from the license record

Controlled substance schedules

II III IV V

Current term began

07/17/2024

Current term began

04/04/1991

Other Illinois licenses under this name

• IL
  Kevin R Wallace Dmd

  License 019022339

  Licensed Dentist (Dental)
  Active

  Elmwood Park, IL

  Expires Sep 30, 2027

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