Wisconsin
Department of Safety and Professional Services
Wallace, Stephanie M
Medicine And Surgery
License number
60446-20
Date granted
04/01/2013
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 13811464
LAST UPDATED 2026-03-12 02:27:36 UTC
LAST UPDATED 2026-03-12 02:27:36 UTC
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