License holder summary

BRETT MICHAEL WALLEN is a Dentistry - Anesthesia Permit - Unrestricted licensed to practice in Pennsylvania. The address on file for BRETT MICHAEL WALLEN is Denver CO 80210. This licensed professional license is not current. The license was granted 03/21/2001 and expired on 06/30/2005.

Pennsylvania

Department of State

BRETT MICHAEL WALLEN
Dentistry - Anesthesia Permit - Unrestricted
License number
DA031539A
Date granted
03/21/2001
Date expires
06/30/2005
Class
Dentistry - Anesthesia Permit - Unrestricted
Status
Expired
Address
Denver CO 80210
palicensing.org
ID 16539426
LAST UPDATED 2024-03-16 11:58:48 UTC

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