Massachusetts
Division of Professional Licensure
Charles W Wallace
Board Of Registration In Medicine
License number
254346
Date granted
09/10/2014
Date expires
12/21/2016
Class
Board Of Registration In Medicine
Status
Active
Address
75 State Street, 26th Floor
licensingma.org
ID 41493373
LAST UPDATED 2026-06-01 19:14:29 UTC
LAST UPDATED 2026-06-01 19:14:29 UTC
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