Missouri
Division of Professional Registration
Wallace, Alan C
Dentist
License number
012116
Date granted
06/26/1974
Date expires
11/30/2014
Class
Dentist
Status
Clear
Address
Lake Dental Clinic
licensingmissouri.org
ID 2025962
LAST UPDATED 2026-04-22 03:55:08 UTC
LAST UPDATED 2026-04-22 03:55:08 UTC
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