SHAIN SULLIVAN WALLIS

Department Of Health - Osteopathic Physician

Florida  OS12750   Active

This Florida license is held by SHAIN SULLIVAN WALLIS. The license is currently active. It was granted on 01/01/2005 and expired on 03/31/2016

LICENSE DETAILS

  • License Number: OS12750
  • Category: Osteopathic Physician
  • Status: Active
  • Date Granted: 01/01/2005 (over 20 years ago)
  • Expiry Date: 03/31/2016 (about 9 years ago)

LOCATIONS

A Primary Practice Address

1ST AVE AT 16TH STREET, NEW YORK, NY 10003