HUGH JAMES WALLACE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

HUGH JAMES

Last Name

WALLACE

Suffix

Business Name

HUGH JAMES WALLACE MD

Original Issue Date

06/26/1996

Effective Date

06/26/1996

Expiration Date

07/31/1999

City

BREA

State

Zip

92821

County

CALIFORNIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020