License holder summary

David Charles Wallace is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for David Charles Wallace is 500 N Nappanee Street, Ste 11-B, Elkhart IN 46514. This licensed professional license is not current. The license was granted 12/05/2007 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

David Charles Wallace
Controlled Substance Registration-Osteopathic Physician
License number
02003285B
Date granted
12/05/2007
Date expires
06/30/2009
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
500 N Nappanee Street, Ste 11-B, Elkhart IN 46514
indianalicensing.org
ID 5799111
LAST UPDATED 2024-04-17 21:03:09 UTC

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