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 2026-04-15 00:47:29 UTC
LAST UPDATED 2026-04-15 00:47:29 UTC
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