Utah
Division of Occupational and Professional Licensing
JESSE LEE WALLACE
Physician - Physician & Surgeon
License number
150171-1205
Date granted
02/26/1969
Date expires
01/31/2014
Class
Physician - Physician & Surgeon
Status
Expired
Address
OGDEN, UT 84405
utahlicensing.org
ID 29926354
LAST UPDATED 2024-04-07 13:24:13 UTC
LAST UPDATED 2024-04-07 13:24:13 UTC
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