License holder summary

JORDAN SCOTT WALLACE is a Board Of Medicine licensed to practice in Idaho. The address on file for JORDAN SCOTT WALLACE is 515 W MCGRAW ST APT A SEATTLE WA 98119. This licensed professional license is current. The license was granted 08/17/2016 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

JORDAN SCOTT WALLACE
Board Of Medicine
License number
MSM-0738
Date granted
08/17/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
515 W MCGRAW ST APT A SEATTLE WA 98119
idaholicensing.com
ID 48342990
LAST UPDATED 2024-04-08 07:37:03 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

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