License holder summary

Michael Bradley Wallace is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Michael Bradley Wallace is Mayo Clinic, 4500 San Pablo Rd, Jacksonville, FL 32224. This doctor license is current. The license was granted 09/11/2004 and expired on 08/31/2015.

Department of Safety and Professional Services

Board of Medical Practice

Michael Bradley Wallace
Medical - Physician And Surgeon
License number
47138
Date granted
09/11/2004
Date expires
08/31/2015
Class
Medical - Physician And Surgeon
Status
Active
Address
Mayo Clinic, 4500 San Pablo Rd, Jacksonville, FL 32224
doctorsminnesota.org
ID 22328981
LAST UPDATED 2024-02-20 07:25:10 UTC

This website is unaffiliated with the Board of Medical Practice. Please verify all information directly with the relevant official government authority.

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