DANYALE A WALLACE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114349

License Status

NOT RENEWED

Business

First Name

DANYALE

Middle

Last Name

WALLACE

Business Name

DANYALE A WALLACE

Original Issue Date

08/04/2005

Effective Date

09/16/2020

Expiration Date

07/31/2023

City

JONESBORO

State

Zip

72405

County

ARKANSAS

Ever Disciplined

LastModifiedDate

11/30/2023