License holder summary

TIMOTHY ROBERT WALLACE is a Graduate Osteopathic Trainee licensed to practice in Pennsylvania. The address on file for TIMOTHY ROBERT WALLACE is Gibsonia PA 15044. This licensed professional license is not current. The license was granted 04/21/2004 and expired on 06/30/2007.

Pennsylvania

Department of State

TIMOTHY ROBERT WALLACE
Graduate Osteopathic Trainee
License number
OT010753
Date granted
04/21/2004
Date expires
06/30/2007
Class
Graduate Osteopathic Trainee
Status
Inactive
Address
Gibsonia PA 15044
palicensing.org
ID 16984384
LAST UPDATED 2024-03-21 16:07:08 UTC

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