JAMES A WALLACE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113259

License Status

ACTIVE

Business

First Name

JAMES

Middle

Last Name

WALLACE

Suffix

Business Name

JAMES A WALLACE MD

Original Issue Date

03/16/2005

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

09/08/2023