License holder summary

Eric D Wallace is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Eric D Wallace is South Shore Medical Center, 143 Longwater Drive, Norwell 02061. This licensed professional license is current. The license was granted 04/14/2010 and expired on 07/07/2017.

Massachusetts

Division of Professional Licensure

Eric D Wallace
Board Of Registration In Medicine
License number
243033
Date granted
04/14/2010
Date expires
07/07/2017
Class
Board Of Registration In Medicine
Status
Active
Address
South Shore Medical Center, 143 Longwater Drive
licensingma.org
ID 41493377
LAST UPDATED 2024-03-02 08:55:42 UTC

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