DAVID ALAN WALLS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021003150

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

ALAN

Last Name

WALLS

Business Name

DAVID ALAN WALLS

Original Issue Date

11/18/2021

Effective Date

11/18/2021

Expiration Date

09/30/2024

City

TRACY

State

Zip

95304

Specialty/Qualifier

ORAL AND MAXILLOFACIAL SURGERY

Ever Disciplined

LastModifiedDate

02/04/2025