DANYALE A WALLACE - Medical Doctor License in Arkansas | # 036114349

DANYALE A WALLACE

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114349

License Status

NOT RENEWED

Business

N

First Name

DANYALE

Middle

A

Last Name

WALLACE

Business Name

DANYALE A WALLACE

Original Issue Date

08/04/2005

Effective Date

09/16/2020

Expiration Date

07/31/2023

State

AR

Ever Disciplined

N

LastModifiedDate

11/30/2023