STEPHEN A WALLACE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021252

License Status

ACTIVE

Business

First Name

STEPHEN A

Last Name

WALLACE

Suffix

DDS

Business Name

STEPHEN A WALLACE DDS

Original Issue Date

08/13/1988

Effective Date

07/14/2024

Expiration Date

09/30/2027

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2025