TIMOTHY ROBERT WALLACE

Graduate Osteopathic Trainee

Pennsylvania  OT010753   Inactive

This Pennsylvania license was held by TIMOTHY ROBERT WALLACE. The license is no longer active. It was granted on 04/21/2004 and expired on 06/30/2007

LICENSE DETAILS

  • License Number: OT010753
  • Category: Graduate Osteopathic Trainee
  • Status: Inactive
  • Date Granted: 04/21/2004 (about 21 years ago)
  • Expiry Date: 06/30/2007 (almost 18 years ago)

LOCATIONS

A Address

Gibsonia PA 15044