License holder summary

Waller, Mary M is a Dentistry licensed to practice in Wisconsin. This licensed professional license is not current. The license was granted 10/16/1981 and expired on 09/30/2015.

Wisconsin

Department of Safety and Professional Services

Waller, Mary M
Dentistry
License number
2865-15
Date granted
10/16/1981
Date expires
09/30/2015
Class
Dentistry
Status
wisconsinlicensing.org
ID 12621489
LAST UPDATED 2024-03-22 04:32:20 UTC

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