Department of Licensing and Regulatory Affairs
Board of Medicine
BONNIE MERRITT WALLACE
Physicians Assistants - Physician Assistant
License number
5601006513
Date granted
10/01/2012
Date expires
08/31/2017
Class
Physicians Assistants - Physician Assistant
Status
Active
Address
michiganmedical.net
ID 39312036
LAST UPDATED 2024-03-15 00:14:40 UTC
LAST UPDATED 2024-03-15 00:14:40 UTC
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