HARVEY IAN WALLACK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043477

License Status

INACTIVE

Business

First Name

HARVEY IAN

Last Name

WALLACK

Suffix

Business Name

HARVEY IAN WALLACK MD

Original Issue Date

06/30/1970

Effective Date

06/30/1970

Expiration Date

07/31/1987

City

WESTLAKE VILLAGE

State

Zip

91361

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006