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
LAST UPDATED 2024-03-21 16:07:08 UTC
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