JESSICA FAE WALLACE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017626

License Status

ACTIVE

Business

First Name

JESSICA

Middle

FAE

Last Name

WALLACE

Business Name

JESSICA FAE WALLACE

Original Issue Date

06/22/2022

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2024