Utah
Division of Occupational and Professional Licensing
AUSTIN GREGORY FISHER WALLACE
Physician - Physician & Surgeon
License number
7087070-1205
Date granted
12/15/2008
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
DURANGO, CO 81301
utahlicensing.org
ID 29919526
LAST UPDATED 2024-04-07 18:46:05 UTC
LAST UPDATED 2024-04-07 18:46:05 UTC
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