JAN WALLACE
Physician/Surgeon
Connecticut 14769 Active
This Connecticut license is held by JAN WALLACE. The license is currently active. It was granted on 12/11/1970 and expired on 05/31/2015
LICENSE DETAILS
- License Number: 14769
- Category: Physician/Surgeon - MD/DO
- Status: Active
- Date Granted: 12/11/1970 (over 55 years ago)
- Expiry Date: 05/31/2015 (about 11 years ago)
LOCATIONS
A Address
1501 TURPIN LAKE RD, POOLVILLE, TX, 76487-3245
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