License holder summary

WALLACE PROCTOR is a Board Of Medicine licensed to practice in Idaho. The address on file for WALLACE PROCTOR is 1605 Monte Vista Drive Pocatello ID 83201. This licensed professional license is not current. The license was granted 01/11/1971 and expired on 07/12/1934.

Idaho

Division of Occupational and Professional Licenses

WALLACE PROCTOR
Board Of Medicine
License number
M-2971
Date granted
01/11/1971
Date expires
07/12/1934
Class
Board Of Medicine
Status
Deceased
Address
1605 Monte Vista Drive Pocatello ID 83201
idaholicensing.com
ID 48344486
LAST UPDATED 2024-03-12 19:39:22 UTC

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