MELISSA KRISTINE WALLES Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010653

License Status

ACTIVE

Business

First Name

MELISSA

Middle

KRISTINE

Last Name

WALLES

Business Name

MELISSA KRISTINE WALLES

Original Issue Date

06/30/2003

Effective Date

07/15/2024

Expiration Date

09/30/2027

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/15/2024