GIA MARIE WALLACE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020018003

License Status

ACTIVE

Business

First Name

GIA

Middle

MARIE

Last Name

WALLACE

Business Name

GIA MARIE WALLACE

Original Issue Date

07/11/2023

Effective Date

09/21/2024

Expiration Date

09/30/2027

City

JOLIET

State

Zip

60431

Ever Disciplined

LastModifiedDate

09/21/2024