SHARON KAY NUGENT WALLACE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122725

License Status

NOT RENEWED

Business

Title

First Name

SHARON

Middle

KAY NUGENT

Last Name

WALLACE

Business Name

SHARON KAY NUGENT WALLACE MD

Original Issue Date

02/27/2009

Effective Date

09/01/2020

Expiration Date

07/31/2023

City

LAKEWOOD

State

Zip

98498

County

UNION

Ever Disciplined

LastModifiedDate

11/30/2023