License holder summary

TRAVIS SCOTT WALL is a Board Of Medicine licensed to practice in Idaho. The address on file for TRAVIS SCOTT WALL is 1725 MICHIGAN AVE SALT LAKE CITY UT 84108. This licensed professional license is not current. The license was granted 06/13/2006 and expired on 06/30/2007.

Idaho

Division of Occupational and Professional Licenses

TRAVIS SCOTT WALL
Board Of Medicine
License number
M-9633
Date granted
06/13/2006
Date expires
06/30/2007
Class
Board Of Medicine
Status
Canceled
Address
1725 MICHIGAN AVE SALT LAKE CITY UT 84108
idaholicensing.com
ID 48385413
LAST UPDATED 2024-02-21 12:34:56 UTC

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