License holder summary

WALLACE MICHAEL JASON is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for WALLACE MICHAEL JASON is BALTIMORE MD. This doctor license is not current. The license was granted 08/07/2006.

New York

Office of the Professions

WALLACE MICHAEL JASON
Medicine (Physician, Including M Ds & D Os)
License number
241405
Date granted
08/07/2006
Class
Medicine (Physician, Including M Ds & D Os)
Status
Not Registered
Address
BALTIMORE MD
nymedicine.org
ID 30305344
LAST UPDATED 2026-06-04 05:21:53 UTC

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