VERNON E WALLACE MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042001601

License Status

NOT RENEWED

Business

Business Name

VERNON E WALLACE MD SC

Original Issue Date

11/20/1972

Effective Date

11/20/1972

Expiration Date

01/01/1990

City

CHICAGO

State

Zip

60606

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006