FEBE IRIS WALLACE MD - Medical Doctor License in Tennessee | # 036101508

FEBE IRIS WALLACE MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101508

License Status

INACTIVE

Business

N

First Name

FEBE

Middle

IRIS

Last Name

WALLACE

Suffix

MD

Business Name

FEBE IRIS WALLACE MD

Original Issue Date

10/20/1999

Effective Date

10/20/1999

Expiration Date

07/31/2005

State

TN

Ever Disciplined

N

LastModifiedDate

04/10/2008