Charles William Wallace
ActiveMichigan license 4301104375
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 4301104375
- Status
- Active
- First issued
- December 11, 2013
- Expires
- December 11, 2027
- License holder
- Charles William Wallace
- Entity type
- Individual
Classifications
- Medical Doctor (Medicine) Physicians & Surgeons