FEBE IRIS WALLACE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101508

License Status

INACTIVE

Business

First Name

FEBE

Middle

IRIS

Last Name

WALLACE

Suffix

Business Name

FEBE IRIS WALLACE MD

Original Issue Date

10/20/1999

Effective Date

10/20/1999

Expiration Date

07/31/2005

City

OAK RIDGE

State

Zip

37830

County

TENNESSEE

Ever Disciplined

LastModifiedDate

04/10/2008