The holder whose full name is Wallace, David Charles,come from Elkhart IN,hold the Osteopathic Physician license(NO.02003285A) which status is Expired Non-Renewable.
| Name | Wallace, David Charles |
|---|---|
| License Number | 02003285A |
| License Type | Osteopathic Physician |
| License Status | Expired Non-Renewable |
| City | Elkhart |
| State | IN |