WALLACE J CHAMPLAIN, JR
Osteopathic Physician (Do) - Osteopathic Physician
Michigan 5101008515 Lapsed
This Michigan license was held by WALLACE J CHAMPLAIN, JR. The license is no longer active. It was granted on 05/05/1983 and expired on 12/31/1995
LICENSE DETAILS
- License Number: 5101008515
- Category: Osteopathic Physician
- Status: Lapsed
- Date Granted: 05/05/1983 (about 42 years ago)
- Expiry Date: 12/31/1995 (over 29 years ago)
LOCATIONS
A Address
Grand Prairie, TX 75051