Pennsylvania
Department of State
JODI LYNN WALLACE
Physical Therapist Assistant
License number
TE008978
Date granted
06/16/2011
Date expires
12/31/2012
Class
Physical Therapist Assistant
Status
Voided
Address
Butler PA 16001
palicensing.org
ID 17323072
LAST UPDATED 2024-02-18 14:39:17 UTC
LAST UPDATED 2024-02-18 14:39:17 UTC
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