SAM FRANK WALLIS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010403

License Status

NOT RENEWED

Business

First Name

SAM FRANK

Last Name

WALLIS

Suffix

DDS

Business Name

SAM FRANK WALLIS DDS

Original Issue Date

08/27/1953

Effective Date

08/27/1953

City

SAN MATEO

State

Zip

94403

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005