NANCY S WALLACE DMD - Dentist License in Illinois | # 019021770

NANCY S WALLACE DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021770

License Status

NOT RENEWED

Business

N

First Name

NANCY S

Last Name

WALLACE

Suffix

DMD

Business Name

NANCY S WALLACE DMD

Original Issue Date

10/03/1989

Effective Date

09/16/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018