LAWRENCE NORMAN WALLACE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000770

License Status

ACTIVE

Business

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

City

CARMEL VALLEY

State

Zip

93924

County

CALIFORNIA

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

05/03/2024