Utah
Division of Occupational and Professional Licensing
GREGORY LEE WALLACE
Physician - Physician & Surgeon
License number
7771239-1205
Date granted
10/14/2010
Date expires
01/31/2014
Class
Physician - Physician & Surgeon
Status
Expired
Address
LARAMIE, WY 820725924
utahlicensing.org
ID 29924507
LAST UPDATED 2024-01-31 00:20:03 UTC
LAST UPDATED 2024-01-31 00:20:03 UTC
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