License holder summary

ASHLEY BROOKE FAITH WALLACE is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for ASHLEY BROOKE FAITH WALLACE is Julian PA 16844. This licensed professional license is current. The license was granted 06/24/2009 and expired on 12/31/2014.

Pennsylvania

Department of State

ASHLEY BROOKE FAITH WALLACE
Medical Physician Assistant
License number
MA053915
Date granted
06/24/2009
Date expires
12/31/2014
Class
Medical Physician Assistant
Status
Active
Address
Julian PA 16844
palicensing.org
ID 16638809
LAST UPDATED 2024-04-11 12:48:18 UTC

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