GARY WAYNE WALLACE
Physician - Physician & Surgeon
Utah 321650-1205 Expired
This Utah license was held by GARY WAYNE WALLACE. The license is no longer active. It was granted on 07/10/1996 and expired on 01/31/2004
LICENSE DETAILS
- License Number: 321650-1205
- Category: PHYSICIAN & SURGEON
- Status: Expired
- Date Granted: 07/10/1996 (almost 28 years ago)
- Expiry Date: 01/31/2004 (over 20 years ago)
LOCATIONS
A Address
IDAHO FALLS, ID 83404