TIMOTHY THOMAS WALLACE JR
Medical Board - 50.Physician Assistant
Ohio 50.001347 Inactive
This Ohio license was held by TIMOTHY THOMAS WALLACE JR. The license is no longer active. It was granted on 08/02/1999 and expired on 01/31/2012
LICENSE DETAILS
- License Number: 50.001347
- Category: 50.Physician Assistant
- Status: Inactive
- Date Granted: 08/02/1999 (over 25 years ago)
- Expiry Date: 01/31/2012 (about 13 years ago)
LOCATIONS
A Residence Address
richfield, OH 44286