License Directory

Wallace James Werner Md

Inactive

Illinois license 036044525

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036044525
Status
Inactive
First issued
July 9, 1971
Expired
July 31, 1987
License holder
Wallace James Werner Md
Entity type
Individual

Classifications

More from the license record

Current term began
07/09/1971

Contact

Manassas, VA 22110
Virginia County