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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, April 27, 2024 4:04 AM CDT
Next Update: Saturday, April 27, 2024 12:00 PM CDT

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WALLACE, WILLIAM WILSON JR
Practice Address: 8933 ACTIVITY RD.
SAN DIEGO CA 92126

Address last updated on 12/23/1999
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 8860
Dated: 6/14/1967
Expires: 6/30/1995
License Type: Medical Doctor
Specialty: Allergy
Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1967
CME Year:
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF ALLERGY AND IMMUNOLOGY
AMERICAN BOARD OF PEDIATRICS
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
8933 ACTIVITY RD.
SAN DIEGO CA 92126

Phone #:
Fax #:

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