Michigan
Department of Licensing and Regulation
WALLACE J CHAMPLAIN, JR
Osteopathic Physician (Do) - Osteopathic Physician
License number
5101008515
Date granted
05/05/1983
Date expires
12/31/1995
Class
Osteopathic Physician (Do) - Osteopathic Physician
Status
Lapsed
Address
Grand Prairie, TX 75051
michiganlicensing.org
ID 25884026
LAST UPDATED 2024-03-07 22:48:26 UTC
LAST UPDATED 2024-03-07 22:48:26 UTC
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