License holder summary

Michael Hugh Wallace is a Medical - Physician licensed to practice in Colorado. The address on file for Michael Hugh Wallace is 2130-B WEST PROSPECT ROAD, FORT COLLINS, CO, 80526-0526. This licensed professional license is not current. The license was granted 12/26/2002 and expired on 05/31/2007.

Colorado

Division of Professions and Occupations

Michael Hugh Wallace
Medical - Physician
License number
41188
Date granted
12/26/2002
Date expires
05/31/2007
Class
Medical - Physician
Status
Expired
Address
2130-B WEST PROSPECT ROAD, FORT COLLINS, CO, 80526-0526
coloradolicensing.org
ID 27452968
LAST UPDATED 2022-09-08 15:38:15 UTC

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