MARK ALAN WALLACE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038010621

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ALAN

Last Name

WALLACE

Business Name

MARK ALAN WALLACE

Original Issue Date

02/23/2006

Effective Date

02/23/2006

Expiration Date

07/31/2008

City

BETTENDORF

State

Zip

52722

County

IOWA

Ever Disciplined

LastModifiedDate

11/06/2008