Michael P Wallace Dmd
ExpiredIllinois license 31*****27
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 31*****27
- Status
- Expired (Not Renewed)
- First issued
- September 12, 1983
- Expired
- September 30, 1984
- License holder
- Michael P 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
- 09/12/1983
Other Illinois licenses under this name
-
IL
ExpiredRichmond Heights, MOExpired Sep 30, 2000
Contact
Effingham, IL 62401
Effingham County