Pennsylvania
Department of State
BENJAMIN JOHN WALLISCH
Graduate Osteopathic Trainee
License number
OT010175
Date granted
05/08/2002
Date expires
06/30/2005
Class
Graduate Osteopathic Trainee
Status
Inactive
Address
Alamo Heights TX 78209
palicensing.org
ID 16983623
LAST UPDATED 2024-03-17 05:33:55 UTC
LAST UPDATED 2024-03-17 05:33:55 UTC
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