License holder summary

WALLACE WAYNE A is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for WALLACE WAYNE A is HAMMONDSPORT NY. This doctor license is current. The license was granted 06/25/1971 and expired on 06/30/2016.

New York

Office of the Professions

WALLACE WAYNE A
Medicine (Physician, Including M Ds & D Os)
License number
108875
Date granted
06/25/1971
Date expires
06/30/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
HAMMONDSPORT NY
nymedicine.org
ID 30305362
LAST UPDATED 2024-02-11 14:42:15 UTC

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