Connecticut
Department of Consumer Protection
JAN WALLACE
Physician/Surgeon
License number
14769
Date granted
12/11/1970
Date expires
05/31/2015
Class
Physician/Surgeon
Status
Active
Address
1501 TURPIN LAKE RD, POOLVILLE, TX, 76487-3245
ctlicensing.org
ID 4321304
LAST UPDATED 2026-04-06 05:14:53 UTC
LAST UPDATED 2026-04-06 05:14:53 UTC
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