License holder summary

KIMBERLY DENISE WALLACE is a Medicine - Medical Doctor Educational Limited licensed to practice in Michigan. This medical licensee license is not current. The license was granted 07/01/2004 and expired on 06/30/2006.

Department of Licensing and Regulatory Affairs

Board of Medicine

KIMBERLY DENISE WALLACE
Medicine - Medical Doctor Educational Limited
License number
4301084456
Date granted
07/01/2004
Date expires
06/30/2006
Class
Medicine - Medical Doctor Educational Limited
Status
Voided
Address
michiganmedical.net
ID 38979016
LAST UPDATED 2026-04-27 11:07:44 UTC

This website is unaffiliated with the Board of Medicine. Please verify all information directly with the relevant official government authority.

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