Indiana
Professional Licensing Agency
Noel Wallace
Physician
License number
01066906A
Date granted
06/24/2009
Date expires
10/31/2015
Class
Physician
Status
Active
Address
Lafayette IN 47905
indianalicensing.org
ID 6069143
LAST UPDATED 2026-03-17 07:27:23 UTC
LAST UPDATED 2026-03-17 07:27:23 UTC
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