License holder summary

TODD A WALLACE is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for TODD A WALLACE is ROCKY MOUNT NC 27804. This licensed professional license is not current. The license was granted 03/17/1997 and expired on 12/31/1998.

Pennsylvania

Department of State

TODD A WALLACE
Medical Physician Assistant
License number
MA002217L
Date granted
03/17/1997
Date expires
12/31/1998
Class
Medical Physician Assistant
Status
Inactive
Address
ROCKY MOUNT NC 27804
palicensing.org
ID 16634178
LAST UPDATED 2024-04-05 16:54:21 UTC

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