Idaho
Division of Occupational and Professional Licenses
STEVEN ELLIOTT WALLACE
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 677
Date granted
11/17/1992
Date expires
02/23/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
BOISE ID 83709
idaholicensing.com
ID 43733490
LAST UPDATED 2026-03-15 21:14:13 UTC
LAST UPDATED 2026-03-15 21:14:13 UTC
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