Indiana
Professional Licensing Agency
LEONARD E WALLACE
Physician
License number
01029876A
Date granted
03/10/1980
Date expires
06/30/1993
Class
Physician
Status
Expired Non-Renewable
Address
LEXINGTON KY 40513
indianalicensing.org
ID 6071907
LAST UPDATED 2024-03-21 14:23:54 UTC
LAST UPDATED 2024-03-21 14:23:54 UTC
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