JORDAN SCOTT WALLACE
Idaho MSM-0738 Licensed
This Idaho license is held by JORDAN SCOTT WALLACE. The license is currently active. It was granted on 08/17/2016 and expired on 06/30/2017
LICENSE DETAILS
- License Number: MSM-0738
- Category: Board Of Medicine
- Status: Licensed
- Date Granted: 08/17/2016 (over 8 years ago)
- Expiry Date: 06/30/2017 (almost 8 years ago)
LOCATIONS
A Residential
515 W MCGRAW ST APT A SEATTLE WA 98119
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