License holder summary

JENNIFER FAYE WALLACE is a Psychology - Master's Ltd. Psychologist Educ Ltd licensed to practice in Michigan. This medical licensee license is not current. The license was granted 06/02/2011 and expired on 06/02/2015.

Department of Licensing and Regulatory Affairs

Board of Medicine

JENNIFER FAYE WALLACE
Psychology - Master's Ltd. Psychologist Educ Ltd
License number
6301014813
Date granted
06/02/2011
Date expires
06/02/2015
Class
Psychology - Master's Ltd. Psychologist Educ Ltd
Status
Lapsed
Address
michiganmedical.net
ID 39334933
LAST UPDATED 2024-02-05 01:27:58 UTC

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