Mark Allen Wallace
ActiveMichigan license 5101015234
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5101015234
- Status
- Active
- First issued
- July 9, 2012
- Expires
- July 9, 2028
- License holder
- Mark Allen Wallace
- Entity type
- Individual
Classifications
- Osteopathic Physician Physicians & Surgeons