Adam Wallace
ActiveMichigan license EMC0005028
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- EMC0005028
- Status
- Active
- First issued
- April 19, 2024
- Expires
- April 19, 2027
- License holder
- Adam Wallace
- Entity type
- Individual
Classifications
- Expedited Compact (Health) Other Health Care
Contact
124 E. Springwood Ct.
Mequon, WI 53092
Mequon, WI 53092