License holder summary

MARK S WALLACE is a Dental - Dentist Anesthesia Class I Permit licensed to practice in Utah. The address on file for MARK S WALLACE is SAN ANTONIO, TX 78251. This licensed professional license is current. The license was granted 07/01/1986 and expired on 05/31/2016.

Utah

Division of Occupational and Professional Licensing

MARK S WALLACE
Dental - Dentist Anesthesia Class I Permit
License number
142818-9921
Date granted
07/01/1986
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class I Permit
Status
Active
Address
SAN ANTONIO, TX 78251
utahlicensing.org
ID 29716390
LAST UPDATED 2024-04-05 05:27:00 UTC

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