STEPHANIE ELIZABETH WALLACE IDPR Registered License verification

Business Entity

NOT RENEWED

License Type

IDPR Registered

Description

GENETIC COUNSELOR

License Number

246000406

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

ELIZABETH

Last Name

WALLACE

Business Name

STEPHANIE ELIZABETH WALLACE

Original Issue Date

11/27/2018

Effective Date

11/08/2020

Expiration Date

01/31/2023

City

OAKLAND

State

Zip

94607

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

03/31/2023