License holder summary

Wallace, Brooke Kimberly is a Dental Hygienist licensed to practice in Missouri. The address on file for Wallace, Brooke Kimberly is 4806 Old Lemay Ferry Rd , Imperial 63052. This licensed professional license is current. The license was granted 12/17/2010 and expired on 11/30/2014.

Missouri

Division of Professional Registration

Wallace, Brooke Kimberly
Dental Hygienist
License number
2010041923  
Date granted
12/17/2010
Date expires
11/30/2014
Class
Dental Hygienist
Status
Clear
Address
4806 Old Lemay Ferry Rd 
licensingmissouri.org
ID 2011208
LAST UPDATED 2024-04-22 02:09:04 UTC

This website is unaffiliated with the Division of Professional Registration. Please verify all information directly with the relevant official government authority.

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