Beth Ilene Wallace
ActiveMichigan license 4301096126
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 4301096126
- Status
- Active
- First issued
- April 29, 2013
- Expires
- April 29, 2029
- License holder
- Beth Ilene Wallace
- Entity type
- Individual
Classifications
- Medical Doctor (Medicine) Physicians & Surgeons
Contact
University of Michigan
1500 E. Medical Center Drive 3110 TC, SPC 5368
Ann Arbor, MI 48109
1500 E. Medical Center Drive 3110 TC, SPC 5368
Ann Arbor, MI 48109
Washtenaw County