License holder summary

WALLACE J III PICKETT is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for WALLACE J III PICKETT is ORMOND BEACH FL, 32074. This licensed professional license is not current. The license was granted 10/14/1981 and expired on 12/31/1986.

Utah

Division of Occupational and Professional Licensing

WALLACE J III PICKETT
Physician - Physician & Surgeon
License number
167459-1205
Date granted
10/14/1981
Date expires
12/31/1986
Class
Physician - Physician & Surgeon
Status
Expired
Address
ORMOND BEACH FL, 32074
utahlicensing.org
ID 29936606
LAST UPDATED 2024-04-11 15:11:34 UTC

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