Michael Hugh Wallace
Medical - Physician
Colorado 41188 Expired
This Colorado license was held by Michael Hugh Wallace. The license is no longer active. It was granted on 12/26/2002 and expired on 05/31/2007
LICENSE DETAILS
- License Number: 41188
- Category: Physician
- Status: Expired
- Date Granted: 12/26/2002 (over 21 years ago)
- Expiry Date: 05/31/2007 (almost 17 years ago)
LOCATIONS
A Address
2130-B WEST PROSPECT ROAD, FORT COLLINS, CO, 80526-0526