License holder summary

JOHN DAVID WALLACE is a Physician's Assistant - Physician Assistant Temporary licensed to practice in Michigan. The address on file for JOHN DAVID WALLACE is Petoskey, MI 49770. This licensed professional license is not current. The license was granted 08/17/2012 and expired on 02/17/2014.

Michigan

Department of Licensing and Regulation

JOHN DAVID WALLACE
Physician's Assistant - Physician Assistant Temporary
License number
5601006422
Date granted
08/17/2012
Date expires
02/17/2014
Class
Physician's Assistant - Physician Assistant Temporary
Status
Voided
Address
Petoskey, MI 49770
michiganlicensing.org
ID 26001510
LAST UPDATED 2024-02-11 09:45:01 UTC

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