Indiana
Professional Licensing Agency
WALLACE L PAST M D INC
Medical Licensing Board - Medical Corporation
License number
50001427A
Date granted
10/30/1978
Date expires
01/31/1992
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
FLOYD COUNTY MEMORIAL HOSPITAL, 1850 STATE STREET, NEW ALBANY IN 47150
indianalicensing.org
ID 24832493
LAST UPDATED 2024-02-15 09:38:17 UTC
LAST UPDATED 2024-02-15 09:38:17 UTC
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