License holder summary

GARY WAYNE WALLACE is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for GARY WAYNE WALLACE is IDAHO FALLS, ID 83404. This licensed professional license is not current. The license was granted 07/10/1996 and expired on 01/31/2004.

Utah

Division of Occupational and Professional Licensing

GARY WAYNE WALLACE
Physician - Physician & Surgeon
License number
321650-1205
Date granted
07/10/1996
Date expires
01/31/2004
Class
Physician - Physician & Surgeon
Status
Expired
Address
IDAHO FALLS, ID 83404
utahlicensing.org
ID 29924017
LAST UPDATED 2026-05-04 13:01:11 UTC

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