Department of State
Board of Medicine
DIANA RENEE WALLACE
Graduate Medical Trainee
License number
MT184936
Date granted
06/17/2004
Date expires
06/30/2008
Class
Graduate Medical Trainee
Status
Inactive
Address
York PA 17404-5014
medicinepa.com
ID 37576959
LAST UPDATED 2024-05-02 11:48:24 UTC
LAST UPDATED 2024-05-02 11:48:24 UTC
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