License holder summary

ANGIE MARIE WALLACE is a Certified Registered Nurse Practitioner licensed to practice in Pennsylvania. The address on file for ANGIE MARIE WALLACE is Fairfield PA 17320. This licensed professional license is current. The license was granted 04/10/2008 and expired on 10/31/2017.

Pennsylvania

Department of State

ANGIE MARIE WALLACE
Certified Registered Nurse Practitioner
License number
SP009803
Date granted
04/10/2008
Date expires
10/31/2017
Class
Certified Registered Nurse Practitioner
Status
Active
Address
Fairfield PA 17320
palicensing.org
ID 37707551
LAST UPDATED 2026-06-26 12:29:28 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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