License holder summary

CROCKETT-WALLACE J M is a Certified Dental Assistant licensed to practice in New York. This licensed professional license is current. The license was granted 06/11/2009 and expired on 12/01/2014.

New York

Office of the Professions

CROCKETT-WALLACE J M
Certified Dental Assistant
License number
001060
Date granted
06/11/2009
Date expires
12/01/2014
Class
Certified Dental Assistant
Status
Registered
nylicensing.org
ID 13194713
LAST UPDATED 2024-09-16 10:13:07 UTC

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