License holder summary

DAVID CHARLES WALLACE is a Board Of Medicine licensed to practice in Idaho. The address on file for DAVID CHARLES WALLACE is 10150 S. Centennial Parkway Sandy UT 84070. This licensed professional license is current. The license was granted 05/17/1996 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

DAVID CHARLES WALLACE
Board Of Medicine
License number
O-168
Date granted
05/17/1996
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
10150 S. Centennial Parkway Sandy UT 84070
idaholicensing.com
ID 48342982
LAST UPDATED 2024-03-31 12:43:31 UTC

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