License holder summary

WALLACE J CHAMPLAIN, JR is a Osteopathic Physician (Do) - Osteopathic Physician licensed to practice in Michigan. The address on file for WALLACE J CHAMPLAIN, JR is Grand Prairie, TX 75051. This licensed professional license is not current. The license was granted 05/05/1983 and expired on 12/31/1995.

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 2021-08-30 20:56:51 UTC

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