Bonnie Merritt Wallace
ActiveMichigan license 5601006513
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5601006513
- Status
- Active
- First issued
- October 1, 2012
- Expires
- October 1, 2028
- License holder
- Bonnie Merritt Wallace
- Entity type
- Individual
Classifications
- Physicians Assistant Physicians & Surgeons