WALLACE JAMES WERNER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044525

License Status

INACTIVE

Business

First Name

WALLACE JAMES

Last Name

WERNER

Suffix

Business Name

WALLACE JAMES WERNER MD

Original Issue Date

07/09/1971

Effective Date

07/09/1971

Expiration Date

07/31/1987

City

MANASSAS

State

Zip

22110

County

VIRGINIA

Ever Disciplined

LastModifiedDate

09/20/2006