Brian J. Wallace

Temporary Physician Assistant

New Jersey  PX07-00566   Voided

This New Jersey license was held by Brian J. Wallace. The license is no longer active. It was granted on 07/13/2007 and expired on 07/13/2007

LICENSE DETAILS

  • License Number: PX07-00566
  • Category: Temporary Physician Assistant
  • Status: Voided
  • Date Granted: 07/13/2007 (almost 18 years ago)
  • Expiry Date: 07/13/2007 (almost 18 years ago)