License Directory

Wallace Wayne Gist Md

Expired

Illinois license 036029575

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036029575
Status
Expired (Not Renewed)
First issued
September 15, 1949
Expired
July 1, 1982
License holder
Wallace Wayne Gist Md
Entity type
Individual

Classifications

More from the license record

Current term began
09/15/1949

Contact

Pueblo, CO 81001
Colorado County