License holder summary

RYAN MYLES WALLACE is a Board Of Medicine licensed to practice in Idaho. The address on file for RYAN MYLES WALLACE is 7500 CHALET COURT ANCHORAGE AK 99507. This licensed professional license is not current. The license was granted 06/19/2013 and expired on 06/30/2014.

Idaho

Division of Occupational and Professional Licenses

RYAN MYLES WALLACE
Board Of Medicine
License number
MSM-0319
Date granted
06/19/2013
Date expires
06/30/2014
Class
Board Of Medicine
Status
Expired
Address
7500 CHALET COURT ANCHORAGE AK 99507
idaholicensing.com
ID 48342992
LAST UPDATED 2024-04-02 06:57:27 UTC

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