License holder summary

JEFFREY SAMUEL WALLIS is a Dentistry - Anesthesia Permit - Restricted I licensed to practice in Pennsylvania. The address on file for JEFFREY SAMUEL WALLIS is Lansdale PA 19446. This licensed professional license is current. The license was granted 04/22/2015 and expired on 03/31/2017.

Pennsylvania

Department of State

JEFFREY SAMUEL WALLIS
Dentistry - Anesthesia Permit - Restricted I
License number
DP000696
Date granted
04/22/2015
Date expires
03/31/2017
Class
Dentistry - Anesthesia Permit - Restricted I
Status
Active
Address
Lansdale PA 19446
palicensing.org
ID 37415216
LAST UPDATED 2026-07-10 15:06:21 UTC

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