License holder summary

WALLACE R. PRATT is a Board Of Medicine licensed to practice in Idaho. The address on file for WALLACE R. PRATT is Gould Medical Foundation Modesto CA 95355. This licensed professional license is not current. The license was granted 08/08/1983.

Idaho

Division of Occupational and Professional Licenses

WALLACE R. PRATT
Board Of Medicine
License number
M-4666
Date granted
08/08/1983
Class
Board Of Medicine
Status
Canceled
Address
Gould Medical Foundation Modesto CA 95355
idaholicensing.com
ID 48362454
LAST UPDATED 2024-01-31 03:59:41 UTC

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