MICHAEL LLOYD WALLACE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104725

License Status

INACTIVE

Business

First Name

MICHAEL

Middle

LLOYD

Last Name

WALLACE

Suffix

Business Name

MICHAEL LLOYD WALLACE MD

Original Issue Date

05/16/2001

Effective Date

04/13/2011

Expiration Date

07/31/2014

City

SEWICKLEY

State

Zip

15143

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

04/08/2014