STEVEN GREGORY WALLACE JR.
License Number: PA9107761
Data As Of 5/19/2024
| Profession | Physician Assistant |
|---|---|
| License | PA9107761 |
| License Status | CLEAR/Active |
| Qualifications | Prescribing |
| License Expiration Date | 1/31/2026 |
| License Original Issue Date | 01/09/2014 |
| Address of Record | 1324 Lakeland Hill Blvd |
| Lakeland Regional Health Medical Center | |
| Emergency Department | |
| LAKELAND, FL 33805 | |
| Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) | No |
| Discipline on File | No |
| Public Complaint | No |
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