John David Wallace
ActiveMichigan license 5601006422
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5601006422
- Status
- Active
- First issued
- September 7, 2012
- Expires
- September 7, 2028
- License holder
- John David Wallace
- Entity type
- Individual
Classifications
- Physicians Assistant Physicians & Surgeons