License Directory

Lailun Kamal Wallace

Active

California license A115331

License

Licensed by
Medical Board of California
License number
A115331
Status
Active (Current)
First issued
January 5, 2011
Expires
October 31, 2028
License holder
Lailun Kamal Wallace
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

5555 E Hartford Ave
Scottsdale, AZ 85254
Maricopa County