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 2026-05-22 03:23:14 UTC
LAST UPDATED 2026-05-22 03:23:14 UTC
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