License holder summary

WALLACE KEVIN P S is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for WALLACE KEVIN P S is NEW YORK NY. This doctor license is current. The license was granted 02/03/2005 and expired on 07/31/2016.

New York

Office of the Professions

WALLACE KEVIN P S
Medicine (Physician, Including M Ds & D Os)
License number
235128
Date granted
02/03/2005
Date expires
07/31/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
NEW YORK NY
nymedicine.org
ID 30305338
LAST UPDATED 2024-03-08 10:45:09 UTC

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