| Licensee Name: | KING D'ET WALLACE |
| License Type: | REGISTERED DENTAL HYGIENIST IN ALTERNATIVE PRACTICE |
| License Number: | 81 |
| License Status: | RENEWED/CURRENT Definition |
| Expiration Date: | October 31, 2016 |
| Issue Date: | January 06, 2005 |
| County: | CONTRA COSTA |
| Actions: | No |