License holder summary

Noel Wallace is a Physician licensed to practice in Indiana. The address on file for Noel Wallace is Lafayette IN 47905. This licensed professional license is current. The license was granted 06/24/2009 and expired on 10/31/2015.

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 2024-03-13 01:54:22 UTC

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