License holder summary

WALLACE MERVIN PETER is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for WALLACE MERVIN PETER is TALLAHASSEE FL. This doctor license is not current. The license was granted 06/30/2005.

New York

Office of the Professions

WALLACE MERVIN PETER
Medicine (Physician, Including M Ds & D Os)
License number
236782
Date granted
06/30/2005
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
TALLAHASSEE FL
nymedicine.org
ID 30305340
LAST UPDATED 2024-02-25 10:38:52 UTC

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