GREGORY STEPHEN WALLACE
Medical Physician And Surgeon
Pennsylvania MD053650L Inactive
This Pennsylvania license was held by GREGORY STEPHEN WALLACE. The license is no longer active. It was granted on 07/18/1994 and expired on 12/31/2000
LICENSE DETAILS
- License Number: MD053650L
- Category: Medical Physician and Surgeon
- Status: Inactive
- Date Granted: 07/18/1994 (almost 30 years ago)
- Expiry Date: 12/31/2000 (over 23 years ago)
LOCATIONS
A Address
ATLANTA GA 30329-3615