Department of State
Board of Medicine
WALLACE M SHAW
Medical Physician And Surgeon
License number
MD013128E
Date granted
11/12/1971
Date expires
12/31/1984
Class
Medical Physician And Surgeon
Status
Inactive
Address
MELVILLE NY 11747
medicinepa.com
ID 37668278
LAST UPDATED 2024-03-18 16:28:34 UTC
LAST UPDATED 2024-03-18 16:28:34 UTC
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