Wisconsin
Department of Safety and Professional Services
Wallace, James R
Medicine And Surgery
License number
33340-20
Date granted
06/24/1992
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 12780084
LAST UPDATED 2024-05-06 03:20:55 UTC
LAST UPDATED 2024-05-06 03:20:55 UTC
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