License holder summary

Wallace, Mark S. is a Medical licensed to practice in Louisiana. The address on file for Wallace, Mark S. is 607 S New Ballas Rd. Ste 2300, St. Louis, MO 63141.

Louisiana

Board of Licensing

Wallace, Mark S.
Medical
License number
MD.019487
Date expires
09/30/2015
Class
Medical
Status
Active
Address
607 S New Ballas Rd. Ste 2300, St. Louis, MO 63141
louisianalicensing.com
ID 21974115
LAST UPDATED 2024-03-02 04:30:42 UTC

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