License holder summary

Mark Edward Wallace is a Medical - Physician licensed to practice in Colorado. The address on file for Mark Edward Wallace is 1555 N 17th Avenue, GREELEY, CO, 80631-0631. This licensed professional license is current. The license was granted 07/16/1992 and expired on 04/30/2015.

Colorado

Division of Professions and Occupations

Mark Edward Wallace
Medical - Physician
License number
32010
Date granted
07/16/1992
Date expires
04/30/2015
Class
Medical - Physician
Status
Active
Address
1555 N 17th Avenue, GREELEY, CO, 80631-0631
coloradolicensing.org
ID 27429085
LAST UPDATED 2024-02-18 04:39:55 UTC

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