Benjamin Jared Wallace
ActiveMichigan license 5101024382
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5101024382
- Status
- Active
- First issued
- July 18, 2018
- Expires
- July 18, 2028
- License holder
- Benjamin Jared Wallace
- Entity type
- Individual
Classifications
- Osteopathic Physician Physicians & Surgeons