Larry Brad Wallace
ActiveCalifornia license 5611
License
- Licensed by
- California State Board of Optometry
- License number
- 5611
- Status
- Active (Current)
- First issued
- September 5, 1973
- Expires
- July 31, 2027
- License holder
- Larry Brad Wallace
- Entity type
- Individual
Classifications
- optometry/Optometrist Optometrist Vision & Hearing
More from the license record
- License type code
- 4201
Contact
322 North Aurora St
Ithaca, NY 14850
Ithaca, NY 14850
Tompkins County