License holder summary

Adam Donald Wallace is a Medical - Physician Training License licensed to practice in Colorado. The address on file for Adam Donald Wallace is 13123 E 16th Ave, Aurora, CO, 80045-7106. This licensed professional license is current. The license was granted 06/23/2012 and expired on 08/31/2015.

Colorado

Division of Professions and Occupations

Adam Donald Wallace
Medical - Physician Training License
License number
4487
Date granted
06/23/2012
Date expires
08/31/2015
Class
Medical - Physician Training License
Status
Active
Address
13123 E 16th Ave, Aurora, CO, 80045-7106
coloradolicensing.org
ID 28295971
LAST UPDATED 2021-06-30 21:44:10 UTC

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