Idaho
Division of Occupational and Professional Licenses
H JAMES WALLACE III
Board Of Medicine
License number
MI-5816
Date granted
05/04/1991
Date expires
06/30/2000
Class
Board Of Medicine
Status
Canceled
Address
111 Colchester Ave Burlington VT 05401
idaholicensing.com
ID 48342988
LAST UPDATED 2024-02-07 03:43:10 UTC
LAST UPDATED 2024-02-07 03:43:10 UTC
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