Adam N Wallace Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

125058310

Status

Expired

First issued

June 14, 2010

Expired

June 13, 2011

License holder

Adam N Wallace

Entity type

Individual

Classifications

• Temporary Medical Permit Physicians & Surgeons

More from the license record

Specialty

Transitional Year

Current term began

06/14/2010

Other Illinois licenses under this name

• IL
  Adam N Wallace Md

  License 036148822 · Adam N Wallace

  Licensed Physician and Surgeon (Medical Board)
  Active

  Mequon, WI

  Expires Jul 31, 2029
• IL
  Adam N Wallace Md

  License 33*****47 · Adam N Wallace

  Licensed Physician Controlled Substance (Medical Board)
  Active

  Mequon, WI

  Expires Jul 31, 2029

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