KIMBERLY DENISE WALLACE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036173865

License Status

ACTIVE

Business

Title

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

City

BLOOMFIELD HILLS

State

Zip

48302

Ever Disciplined

LastModifiedDate

02/25/2025