License holder summary

LISA LAURA WALL is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for LISA LAURA WALL is Mantua NJ 08051. This licensed professional license is not current. The license was granted 01/09/2001 and expired on 12/31/2008.

Pennsylvania

Department of State

LISA LAURA WALL
Medical Physician Assistant
License number
MA003415L
Date granted
01/09/2001
Date expires
12/31/2008
Class
Medical Physician Assistant
Status
Inactive
Address
Mantua NJ 08051
palicensing.org
ID 16635215
LAST UPDATED 2026-06-30 19:45:42 UTC

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