License holder summary

SUSAN DIANE WALLACE is a Physical Therapist licensed to practice in Pennsylvania. The address on file for SUSAN DIANE WALLACE is WHARTON TX 77488. This licensed professional license is not current. The license was granted 09/11/1990 and expired on 12/31/1990.

Pennsylvania

Department of State

SUSAN DIANE WALLACE
Physical Therapist
License number
PT002208E
Date granted
09/11/1990
Date expires
12/31/1990
Class
Physical Therapist
Status
Expired
Address
WHARTON TX 77488
palicensing.org
ID 17293653
LAST UPDATED 2024-03-28 17:15:30 UTC

This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.

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