ARTHUR GREY WALLACE JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057713

License Status

NOT RENEWED

Business

First Name

ARTHUR GREY

Last Name

WALLACE JR

Suffix

Business Name

ARTHUR GREY WALLACE JR MD

Original Issue Date

09/25/1978

Effective Date

09/25/1978

Expiration Date

07/01/1982

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

09/20/2006