LAWRENCE NORMAN WALLACE DDS - Dentist License in California | # 021000770

LAWRENCE NORMAN WALLACE DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000770

License Status

ACTIVE

Business

N

First Name

LAWRENCE NORMAN

Last Name

WALLACE

Suffix

DDS

Business Name

LAWRENCE NORMAN WALLACE DDS

Original Issue Date

12/17/1973

Effective Date

05/03/2024

Expiration Date

09/30/2027

State

CA

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

05/03/2024