License holder summary

DE BOOM GAYLE WALLACE is a Dental License licensed to practice in California. The address on file for DE BOOM GAYLE WALLACE is 6910 75TH ST., SW LAKEWOOD WA 98498. This licensed professional license is not current. The license was granted 07/27/1978 and expired on 05/31/2013.

California

Department of Consumer Affairs

DE BOOM GAYLE WALLACE
Dental License
License number
27421
Date granted
07/27/1978
Date expires
05/31/2013
Class
Dental License
Status
DELINQUENT, HOME OR MAILING ADDRESS
Address
6910 75TH ST., SW LAKEWOOD WA 98498
californialicensing.org
ID 19781068
LAST UPDATED 2024-03-01 19:46:14 UTC

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