License holder summary

Wallace, Colleen Maire is a Medical Physician & Surgeon licensed to practice in Missouri. This licensed professional license is current. The license was granted 02/03/2004 and expired on 01/31/2014.

Missouri

Division of Professional Registration

Wallace, Colleen Maire
Medical Physician & Surgeon
License number
2004002778  
Date granted
02/03/2004
Date expires
01/31/2014
Class
Medical Physician & Surgeon
Status
Clear
licensingmissouri.org
ID 2185975
LAST UPDATED 2024-03-20 02:49:13 UTC

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