Idaho
Division of Occupational and Professional Licenses
Dr. STEPHEN WRIGHT WALLACE
Board Of Medicine
License number
M-11209
Date granted
01/24/2011
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
PO BOX 771 PINEDALE WY 82941
idaholicensing.com
ID 48342994
LAST UPDATED 2024-01-30 01:07:38 UTC
LAST UPDATED 2024-01-30 01:07:38 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.