Brandon James Wallace
ActiveMichigan license 5151015896
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5151015896
- Status
- Active
- First issued
- May 23, 2022
- Expires
- June 30, 2027
- License holder
- Brandon James Wallace
- Entity type
- Individual
Classifications
- Osteopathic Physician Ed Ltd Physicians & Surgeons