License holder summary

ROBERT SCOTT WALLACE is a Physician's Assistant - Physician Assistant licensed to practice in Michigan. The address on file for ROBERT SCOTT WALLACE is Lake Orion, MI 48362. This licensed professional license is not current. The license was granted 08/14/2001 and expired on 08/31/2004.

Michigan

Department of Licensing and Regulation

ROBERT SCOTT WALLACE
Physician's Assistant - Physician Assistant
License number
5601003694
Date granted
08/14/2001
Date expires
08/31/2004
Class
Physician's Assistant - Physician Assistant
Status
Lapsed
Address
Lake Orion, MI 48362
michiganlicensing.org
ID 25996375
LAST UPDATED 2026-04-21 04:50:45 UTC

This website is unaffiliated with the Department of Licensing and Regulation. Please verify all information directly with the relevant official government authority.

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