License holder summary

SCOTT WILLIAM WALLACE is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for SCOTT WILLIAM WALLACE is ELVERSON PA 19520. This licensed professional license is current. The license was granted 02/02/1993 and expired on 03/31/2017.

Pennsylvania

Department of State

SCOTT WILLIAM WALLACE
Dentistry - Anesthesia Permit - Restricted II
License number
DN026093A
Date granted
02/02/1993
Date expires
03/31/2017
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Active
Address
ELVERSON PA 19520
palicensing.org
ID 16536635
LAST UPDATED 2024-04-27 10:32:59 UTC

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