License holder summary

Wallace, Michael P is a Dentist licensed to practice in Missouri. The address on file for Wallace, Michael P is 9225 Manchester Road  63144. This licensed professional license is current. The license was granted 06/29/1983 and expired on 11/30/2014.

Missouri

Division of Professional Registration

Wallace, Michael P
Dentist
License number
013992  
Date granted
06/29/1983
Date expires
11/30/2014
Class
Dentist
Status
Clear
Address
9225 Manchester Road 
licensingmissouri.org
ID 2025972
LAST UPDATED 2024-02-22 00:58:56 UTC

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