License holder summary

ROBERT D WALLACE is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for ROBERT D WALLACE is SALT LAKE CITY, UT 841581065. This licensed professional license is current. The license was granted 06/22/1965 and expired on 01/31/2016.

Utah

Division of Occupational and Professional Licensing

ROBERT D WALLACE
Physician - Physician & Surgeon
License number
148121-1205
Date granted
06/22/1965
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
SALT LAKE CITY, UT 841581065
utahlicensing.org
ID 29933141
LAST UPDATED 2024-05-06 08:59:15 UTC

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