Missouri
Division of Professional Registration
Wallace, Micah Aren
Pediatric Nurse Practitioner
License number
2013024807
Date granted
07/12/2013
Class
Pediatric Nurse Practitioner
Status
Clear
licensingmissouri.org
ID 2408534
LAST UPDATED 2026-05-29 01:30:14 UTC
LAST UPDATED 2026-05-29 01:30:14 UTC
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