Utah
Division of Occupational and Professional Licensing
BRENT EARL WALLACE
Physician - Physician & Surgeon
License number
161010-1205
Date granted
07/01/1977
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
SALT LAKE CITY, UT 84111
utahlicensing.org
ID 29920022
LAST UPDATED 2024-02-28 02:01:07 UTC
LAST UPDATED 2024-02-28 02:01:07 UTC
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