License holder summary

WALLIS SAM F is a Dental - Additional Office licensed to practice in California. The address on file for WALLIS SAM F is 5110 PACIFIC AVENUE STOCKTON CA 95207. This licensed professional license is not current. The license was granted 09/20/1986 and expired on 04/30/1988.

California

Department of Consumer Affairs

WALLIS SAM F
Dental - Additional Office
License number
4160
Date granted
09/20/1986
Date expires
04/30/1988
Class
Dental - Additional Office
Status
Canceled
Address
5110 PACIFIC AVENUE STOCKTON CA 95207
californialicensing.org
ID 10875152
LAST UPDATED 2024-04-06 18:03:26 UTC

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