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 2024-02-27 00:17:02 UTC
LAST UPDATED 2024-02-27 00:17:02 UTC
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