Moira Petirs Wallace
ActiveCalifornia license A120516
License
- Licensed by
- Medical Board of California
- License number
- A120516
- Status
- Active (Current)
- First issued
- March 14, 2012
- Expires
- January 31, 2028
- License holder
- Moira Petirs Wallace
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
Allivie PLLC
830-13 A1A North # 232
Ponte Vedra Beach, FL 32082
830-13 A1A North # 232
Ponte Vedra Beach, FL 32082
St. Johns County