License Directory

Emmett Lee Wallace Md

Expired

Illinois 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

More from the license record

Current term began
03/20/2019

Contact

Davenport, IA 52809
Iowa County