License holder summary

Derrick I Wallace is a Medical Doctor licensed to practice in New Jersey. This licensed professional license is current. The license was granted 10/11/2006 and expired on 06/30/2015.

New Jersey

Division of Consumer Affairs

Derrick I Wallace
Medical Doctor
License number
25MA08175200
Date granted
10/11/2006
Date expires
06/30/2015
Class
Medical Doctor
Status
Active
licensingnj.com
ID 8726488
LAST UPDATED 2026-04-24 06:54:54 UTC

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