License holder summary

Wallace, Waymon-Internist of Fairfield is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Wallace, Waymon-Internist of Fairfield is 5150 Sandy Lane, Kim Reeves, Fairfield, OH 45014. This licensed professional license is current. The license was granted 04/03/2014 and expired on 01/31/2015.

Ohio

Board of Licensing

Wallace, Waymon-Internist of Fairfield
Medical Board - 41.Pa Supervision Agreement
License number
41.18064-SA
Date granted
04/03/2014
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
5150 Sandy Lane, Kim Reeves, Fairfield, OH 45014
ohiolicensing.org
ID 29571440
LAST UPDATED 2024-04-02 02:17:16 UTC

This website is unaffiliated with Ohio and its licensing agencies. Please verify all information directly with the relevant official government authority.

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