Idaho
Division of Occupational and Professional Licenses
W. S. WALLACE
Board Of Medicine
License number
M-0813
Date granted
04/03/1918
Class
Board Of Medicine
Status
Canceled
Address
Newport ID
idaholicensing.com
ID 48342999
LAST UPDATED 2026-03-27 07:53:18 UTC
LAST UPDATED 2026-03-27 07:53:18 UTC
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