DIANE E WALLIS MD - Medical Doctor License in Indiana | # 036061857

DIANE E WALLIS MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061857

License Status

ACTIVE

Business

N

First Name

DIANE E

Last Name

WALLIS

Suffix

MD

Business Name

DIANE E WALLIS MD

Original Issue Date

03/20/1981

Effective Date

04/11/2023

Expiration Date

07/31/2026

State

IN

Ever Disciplined

N

LastModifiedDate

11/16/2023