REBECCA LOU WALLACE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001590

License Status

NOT RENEWED

Business

First Name

REBECCA LOU

Last Name

WALLACE

Business Name

REBECCA LOU WALLACE

Original Issue Date

07/08/1971

Effective Date

07/08/1971

City

ARCHBOLD

State

Zip

43502

County

OHIO

Ever Disciplined

LastModifiedDate

10/12/2005