License holder summary

GABRIEL ABRAHAM WALLACE is a Board Of Medicine licensed to practice in Idaho. The address on file for GABRIEL ABRAHAM WALLACE is 1376 BLUERAIL CIRCLE WESTLAKE VILLAGE CA 91361. This licensed professional license is not current. The license was granted 06/23/2010 and expired on 06/30/2012.

Idaho

Division of Occupational and Professional Licenses

GABRIEL ABRAHAM WALLACE
Board Of Medicine
License number
MSM-0012
Date granted
06/23/2010
Date expires
06/30/2012
Class
Board Of Medicine
Status
Expired
Address
1376 BLUERAIL CIRCLE WESTLAKE VILLAGE CA 91361
idaholicensing.com
ID 48342984
LAST UPDATED 2024-02-12 01:45:35 UTC

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