Missouri
Division of Professional Registration
Wallace, Eric W
Medical Physician & Surgeon
License number
2012035080
Date granted
10/05/2012
Date expires
01/31/2014
Class
Medical Physician & Surgeon
Status
Clear
licensingmissouri.org
ID 2185984
LAST UPDATED 2024-03-28 19:30:09 UTC
LAST UPDATED 2024-03-28 19:30:09 UTC
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