License holder summary

Dr. STEPHANIE ELLEN WALLACE is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. STEPHANIE ELLEN WALLACE is 4800 SAND POINT WAY NE SEATTLE WA 98105. This licensed professional license is current. The license was granted 11/07/2014 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. STEPHANIE ELLEN WALLACE
Board Of Medicine
License number
M-12725
Date granted
11/07/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
4800 SAND POINT WAY NE SEATTLE WA 98105
idaholicensing.com
ID 48342993
LAST UPDATED 2024-04-11 18:09:35 UTC

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