Wisconsin
Department of Safety and Professional Services
Wallace, Michael Lee
Pharmacist
License number
12794-40
Date granted
03/20/1998
Date expires
05/31/2016
Class
Pharmacist
Status
Active
wisconsinlicensing.org
ID 35890949
LAST UPDATED 2024-04-29 04:36:22 UTC
LAST UPDATED 2024-04-29 04:36:22 UTC
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