License holder summary

LEONARD E WALLACE is a Physician licensed to practice in Indiana. The address on file for LEONARD E WALLACE is LEXINGTON KY 40513. This licensed professional license is not current. The license was granted 03/10/1980 and expired on 06/30/1993.

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 2024-02-13 14:07:59 UTC

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