GABRIEL ABRAHAM WALLACE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142476

License Status

ACTIVE

Business

Title

First Name

GABRIEL

Middle

ABRAHAM

Last Name

WALLACE

Business Name

GABRIEL ABRAHAM WALLACE MD

Original Issue Date

02/23/2017

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

06/02/2023