LADAWNIELLE JEAN WALLACE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010240

License Status

ACTIVE

Business

First Name

LADAWNIELLE

Middle

JEAN

Last Name

WALLACE

Business Name

LADAWNIELLE JEAN WALLACE

Original Issue Date

02/15/2002

Effective Date

08/31/2024

Expiration Date

09/30/2027

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

08/31/2024