HOWARD FREDERIC WALLACH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036028153

License Status

NOT RENEWED

Business

First Name

HOWARD FREDERIC

Last Name

WALLACH

Suffix

Business Name

HOWARD FREDERIC WALLACH MD

Original Issue Date

08/15/1947

Effective Date

08/15/1947

City

CHICAGO

State

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006