License holder summary

Lisa Ann Wallace is a Dental Hygienist licensed to practice in Indiana. The address on file for Lisa Ann Wallace is Boston MA 02115. This licensed professional license is not current. The license was granted 12/12/1988 and expired on 03/01/1990.

Indiana

Professional Licensing Agency

Lisa Ann Wallace
Dental Hygienist
License number
13002966A
Date granted
12/12/1988
Date expires
03/01/1990
Class
Dental Hygienist
Status
Expired
Address
Boston MA 02115
indianalicensing.org
ID 5193616
LAST UPDATED 2024-05-03 18:56:45 UTC

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