License holder summary

Kevin P Wallace is a Controlled Substances - Physician Csr licensed to practice in Delaware. The address on file for Kevin P Wallace is Lewes DE 19958. This licensed professional license is not current. The license was granted 07/24/1997 and expired on 06/30/2009.

Delaware

Division of Professional Regulation

Kevin P Wallace
Controlled Substances - Physician Csr
License number
MD3010
Date granted
07/24/1997
Date expires
06/30/2009
Class
Controlled Substances - Physician Csr
Status
Lapsed
Address
Lewes DE 19958
delawarelicensing.com
ID 20544178
LAST UPDATED 2024-04-22 00:21:14 UTC

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