CINDY C WALLACE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006378

License Status

ACTIVE

Business

First Name

CINDY

Middle

Last Name

WALLACE

Business Name

CINDY C WALLACE

Original Issue Date

07/13/1987

Effective Date

05/07/2024

Expiration Date

09/30/2027

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/07/2024