License holder summary

STACY MARIE WALLACE is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for STACY MARIE WALLACE is Franklin PA 16323. This licensed professional license is current. The license was granted 01/15/2008 and expired on 12/31/2016.

Pennsylvania

Department of State

STACY MARIE WALLACE
Medical Physician Assistant
License number
MA053329
Date granted
01/15/2008
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Franklin PA 16323
palicensing.org
ID 16638064
LAST UPDATED 2024-04-14 08:17:08 UTC

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