JAMES N WALLACE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

CANCELLED

Business

First Name

JAMES N

Last Name

WALLACE

Suffix

Business Name

JAMES N WALLACE MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

GADSDEN

State

Zip

35903

County

ALABAMA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006