License holder summary

SCOTT M WALLACE is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for SCOTT M WALLACE is SALT LAKE CITY, UT 84121. This licensed professional license is current. The license was granted 10/01/2014 and expired on 01/31/2016.

Utah

Division of Occupational and Professional Licensing

SCOTT M WALLACE
Physician - Physician & Surgeon
License number
9169466-1205
Date granted
10/01/2014
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
SALT LAKE CITY, UT 84121
utahlicensing.org
ID 29934453
LAST UPDATED 2024-04-24 06:09:30 UTC

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