WALLACE F STROW MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036031796

License Status

INACTIVE

Business

First Name

WALLACE F

Last Name

STROW

Suffix

Business Name

WALLACE F STROW MD

Original Issue Date

01/06/1953

Effective Date

01/06/1953

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006