License holder summary

Christi Ann Wallace is a Medical Residency Permit licensed to practice in Indiana. The address on file for Christi Ann Wallace is Fort Wayne IN 46818. This licensed professional license is not current. The license was granted 06/14/2011 and expired on 06/30/2014.

Indiana

Professional Licensing Agency

Christi Ann Wallace
Medical Residency Permit
License number
11016226A
Date granted
06/14/2011
Date expires
06/30/2014
Class
Medical Residency Permit
Status
Superceded
Address
Fort Wayne IN 46818
indianalicensing.org
ID 5978711
LAST UPDATED 2024-03-25 08:10:01 UTC

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