PATRICK J WALLACE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088468

License Status

INACTIVE

Business

First Name

PATRICK J

Last Name

WALLACE

Suffix

Business Name

PATRICK J WALLACE MD

Original Issue Date

06/01/1994

Effective Date

06/01/1994

Expiration Date

07/31/2002

City

HOUSTON

State

Zip

77057

County

TEXAS

Ever Disciplined

LastModifiedDate

10/09/2006