License holder summary

Stevens Alicia Wallace is a Medical licensed to practice in Louisiana. The address on file for Stevens Alicia Wallace is Hattiesburg Clinic, 1407 S. Main St, Poplarville, MS 39470.

Louisiana

Board of Licensing

Stevens Alicia Wallace
Medical
License number
MD.202242
Date expires
11/30/2014
Class
Medical
Status
Active
Address
Hattiesburg Clinic, 1407 S. Main St, Poplarville, MS 39470
louisianalicensing.com
ID 21967102
LAST UPDATED 2024-05-01 15:49:38 UTC

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