License holder summary

Mark A Wallace is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Mark A Wallace is 333 Magazine Street, Suite 101, Sault Sainte Marie 49783. This licensed professional license is not current. The license was granted 10/07/2009 and expired on 08/05/2016.

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 2026-04-19 04:10:24 UTC

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