Utah
Division of Occupational and Professional Licensing
MICHAEL CHAD WALLIS
Physician - Physician & Surgeon
License number
6078212-1205
Date granted
04/20/2006
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
SALT LAKE CITY, UT 841131100
utahlicensing.org
ID 29930427
LAST UPDATED 2024-04-14 18:24:56 UTC
LAST UPDATED 2024-04-14 18:24:56 UTC
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