David Charles Wallace
Controlled Substance Registration-Osteopathic Physician
Indiana 02003285B Expired
This Indiana license was held by David Charles Wallace. The license is no longer active. It was granted on 12/05/2007 and expired on 06/30/2009
LICENSE DETAILS
- License Number: 02003285B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 12/05/2007 (over 18 years ago)
- Expiry Date: 06/30/2009 (almost 17 years ago)
LOCATIONS
A Address
500 N Nappanee Street, Ste 11-B, Elkhart IN 46514