RICHARD LANGE WALLACE
Department Of Health - Area Of Critical Need Medical Doctor
Florida ACN122 Voided
This Florida license was held by RICHARD LANGE WALLACE. The license expired on 01/31/1996.
LICENSE DETAILS
- License Number: ACN122
- Category: Area of Critical Need Medical Doctor
- Status: Voided
- Expiry Date: 01/31/1996 (over 30 years ago)
LOCATIONS
A Primary Practice Address
% COMPHEALTH, 4021 S. 700 EAST #300, SALT LAKE CITY, UT 84107