License holder summary

Waller, Mark Owen is a Dentistry licensed to practice in Wisconsin. This licensed professional license is not current. The license was granted 07/19/1982 and expired on 09/30/2015.

Wisconsin

Department of Safety and Professional Services

Waller, Mark Owen
Dentistry
License number
3012-15
Date granted
07/19/1982
Date expires
09/30/2015
Class
Dentistry
Status
wisconsinlicensing.org
ID 12621675
LAST UPDATED 2026-03-12 11:40:15 UTC

This website is unaffiliated with the Department of Safety and Professional Services. Please verify all information directly with the relevant official government authority.

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