License holder summary

CHARLOTTE S WALLACE is a Dentistry - Dental Hygienist licensed to practice in Michigan. This medical licensee license is current. The license was granted 06/11/1973 and expired on 08/31/2016.

Department of Licensing and Regulatory Affairs

Board of Medicine

CHARLOTTE S WALLACE
Dentistry - Dental Hygienist
License number
2902003175
Date granted
06/11/1973
Date expires
08/31/2016
Class
Dentistry - Dental Hygienist
Status
Active
Address
michiganmedical.net
ID 38893234
LAST UPDATED 2024-03-11 01:22:42 UTC

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