License holder summary

Dr. THOMAS EVERETT WALLACE is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. THOMAS EVERETT WALLACE is 4841 CHELMSBURY LN LEXINGTON KY 40515. This licensed professional license is not current. The license was granted 04/21/2010.

Idaho

Division of Occupational and Professional Licenses

Dr. THOMAS EVERETT WALLACE
Board Of Medicine
License number
M-10962
Date granted
04/21/2010
Class
Board Of Medicine
Status
Canceled
Address
4841 CHELMSBURY LN LEXINGTON KY 40515
idaholicensing.com
ID 48342997
LAST UPDATED 2024-04-18 20:15:17 UTC

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