License holder summary

Glenn Philip Wallis is a Medical - Physician licensed to practice in Colorado. The address on file for Glenn Philip Wallis is 575 UNION BLVD #210, LAKEWOOD, CO, 80228-0228. This licensed professional license is not current. The license was granted 07/12/1977 and expired on 07/06/2005.

Colorado

Division of Professions and Occupations

Glenn Philip Wallis
Medical - Physician
License number
21105
Date granted
07/12/1977
Date expires
07/06/2005
Class
Medical - Physician
Status
Revoked
Address
575 UNION BLVD #210, LAKEWOOD, CO, 80228-0228
coloradolicensing.org
ID 27455483
LAST UPDATED 2024-02-08 02:40:28 UTC

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