ROBERT D WALLACE
Physician - Physician/Surgeon Cs
Utah 148121-8905 Active
This Utah license is held by ROBERT D WALLACE. The license is currently active. It was granted on 10/14/1969 and expired on 01/31/2016
LICENSE DETAILS
- License Number: 148121-8905
- Category: PHYSICIAN/SURGEON CS
- Status: Active
- Date Granted: 10/14/1969 (over 55 years ago)
- Expiry Date: 01/31/2016 (about 9 years ago)
LOCATIONS
A Address
SALT LAKE CITY, UT 841581065
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