COLLINS R WALLACE MD INC
Medical Licensing Board - Medical Corporation
Indiana 50001110A Expired
This Indiana license was held by COLLINS R WALLACE MD INC. The license is no longer active. It was granted on 09/29/1976 and expired on 12/31/1983
LICENSE DETAILS
- License Number: 50001110A
- Category: Medical Corporation
- Status: Expired
- Date Granted: 09/29/1976 (over 48 years ago)
- Expiry Date: 12/31/1983 (over 41 years ago)
LOCATIONS
A Address
126 TIMBER LANE, FORT WAYNE IN 46825