Pennsylvania
Department of State
TIMOTHY P WALLACE
Medical Physician Assistant
License number
MA052607
Date granted
07/13/2006
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Williamstown NJ 08094
palicensing.org
ID 16637487
LAST UPDATED 2024-04-13 06:17:35 UTC
LAST UPDATED 2024-04-13 06:17:35 UTC
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