License holder summary

DIANA RENEE WALLACE is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for DIANA RENEE WALLACE is York PA 17404-5014. This medical practitioner license is not current. The license was granted 06/17/2004 and expired on 06/30/2008.

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 2026-04-25 15:08:04 UTC

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