WILLIAM EARLE WALLACE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036032043

License Status

NOT RENEWED

Business

First Name

WILLIAM EARLE

Last Name

WALLACE

Suffix

Business Name

WILLIAM EARLE WALLACE MD

Original Issue Date

06/05/1953

Effective Date

06/05/1953

City

SARASOTA

State

Zip

33579

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006