Pennsylvania
Department of State
MICHELLE MARY WALLACE
Temporary Physical Therapist
License number
TPT021323
Date granted
01/24/2013
Date expires
07/24/2013
Class
Temporary Physical Therapist
Status
Voided
Address
Emerson NJ 07630
palicensing.org
ID 17333271
LAST UPDATED 2024-05-15 11:00:29 UTC
LAST UPDATED 2024-05-15 11:00:29 UTC
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