Massachusetts
Division of Professional Licensure
Mark A Wallace
Board Of Registration In Medicine
License number
242184
Date granted
10/07/2009
Date expires
08/05/2016
Class
Board Of Registration In Medicine
Status
Inactive
Address
333 Magazine Street, Suite 101
licensingma.org
ID 41493385
LAST UPDATED 2024-06-13 05:06:09 UTC
LAST UPDATED 2024-06-13 05:06:09 UTC
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