Colorado
Division of Professions and Occupations
Austin Fisher Wallace
Medical - Physician
License number
53508
Date granted
03/11/2014
Date expires
04/30/2015
Class
Medical - Physician
Status
Active
Address
724 E 4th Ave, Salt Lake City, UT, 84103-3444
coloradolicensing.org
ID 27429078
LAST UPDATED 2024-04-15 16:02:28 UTC
LAST UPDATED 2024-04-15 16:02:28 UTC
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