License holder summary

Mark Duane Wallace is a Medical - Physician licensed to practice in Colorado. The address on file for Mark Duane Wallace is 16087 ALHAMBRA LANE, REDDING, CA, 96001-6001. This licensed professional license is not current. The license was granted 01/08/1974 and expired on 05/31/1995.

Colorado

Division of Professions and Occupations

Mark Duane Wallace
Medical - Physician
License number
18570
Date granted
01/08/1974
Date expires
05/31/1995
Class
Medical - Physician
Status
Expired
Address
16087 ALHAMBRA LANE, REDDING, CA, 96001-6001
coloradolicensing.org
ID 27452967
LAST UPDATED 2024-05-12 01:51:08 UTC

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