PATRICIA JEAN WALLACE Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004740

License Status

INACTIVE

Business

First Name

PATRICIA JEAN

Last Name

WALLACE

Business Name

PATRICIA JEAN WALLACE

Original Issue Date

09/15/1981

Effective Date

09/15/1981

Expiration Date

09/30/1994

City

PROSPECT HEIGHTS

State

Zip

60070

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005