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 2024-03-12 18:47:36 UTC
LAST UPDATED 2024-03-12 18:47:36 UTC
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