LISA LAURA WALL

Temporary Physician Assistant

Pennsylvania  MA003415L   Voided

This Pennsylvania license was held by LISA LAURA WALL. The license is no longer active. It was granted on 09/11/2000 and expired on 09/11/2001

LICENSE DETAILS

  • License Number: MA003415L
  • Category: Temporary Physician Asst
  • Status: Voided
  • Date Granted: 09/11/2000 (over 23 years ago)
  • Expiry Date: 09/11/2001 (over 22 years ago)

LOCATIONS

A Address

Cape May Court House NJ 08210