New York
Office of the Professions
CLOSE FREDERICK WALLACE
Medicine (Physician, Including M Ds & D Os)
License number
099368
Date granted
07/19/1967
Class
Medicine (Physician, Including M Ds & D Os)
Status
Not Registered
nymedicine.org
ID 30115408
LAST UPDATED 2026-04-16 15:35:11 UTC
LAST UPDATED 2026-04-16 15:35:11 UTC
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