LISA LAURA WALL
Medical Physician Assistant
Pennsylvania MA003415L Inactive
This Pennsylvania license was held by LISA LAURA WALL. The license is no longer active. It was granted on 01/09/2001 and expired on 12/31/2008
LICENSE DETAILS
- License Number: MA003415L
- Category: Medical Physician Asst
- Status: Inactive
- Date Granted: 01/09/2001 (over 23 years ago)
- Expiry Date: 12/31/2008 (over 15 years ago)
LOCATIONS
A Address
Mantua NJ 08051