KIMBERLY DENISE WALLACE MD - Medical Doctor License in Michigan | # 036173865

KIMBERLY DENISE WALLACE MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036173865

License Status

ACTIVE

Business

N

Title

MD

First Name

KIMBERLY

Middle

DENISE

Last Name

WALLACE

Business Name

KIMBERLY DENISE WALLACE MD

Original Issue Date

02/25/2025

Effective Date

02/25/2025

Expiration Date

07/31/2026

State

MI

Ever Disciplined

N

LastModifiedDate

02/25/2025