Emmett Lee Wallace Md
ExpiredIllinois license 036052892
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 036052892
- Status
- Expired (Not Renewed)
- First issued
- June 10, 1976
- Expired
- September 30, 2020
- License holder
- Emmett Lee Wallace Md
- Entity type
- Individual
Classifications
- Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons
More from the license record
- Current term began
- 03/20/2019
Contact
Davenport, IA 52809
Iowa County