DIANE S WALLACE
Medical Practice at Gulf Blvd, Clearwater, FL

License number
Florida 123814
Issued Date
Apr 16, 2015
Effective Date
Apr 16, 2015
Expiration Date
Jan 31, 2019
Category
Health Care
Type
Medical Doctor
Address
Address 2
1520 Gulf Blvd UNIT 1703, Clearwater, FL 33767
33750 Us Highway 19 N, Palm Harbor, FL 34684
Phone
(207) 240-3307
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Medical Practice licenses in Florida










Other Doctors licenses in Florida