BENJAMIN PANTONE WALLACE

Physician Assistant - Physician Assistant

Utah  4862152-1206   Active

This Utah license is held by BENJAMIN PANTONE WALLACE. The license is currently active. It was granted on 08/04/2014 and expired on 05/31/2016

LICENSE DETAILS

  • License Number: 4862152-1206
  • Category: PHYSICIAN ASSISTANT
  • Status: Active
  • Date Granted: 08/04/2014 (almost 11 years ago)
  • Expiry Date: 05/31/2016 (about 9 years ago)

LOCATIONS

A Address

OGDEN, UT 844034104