TODD A WALLACE
Medical Physician Assistant
Pennsylvania MA002217L Inactive
This Pennsylvania license was held by TODD A WALLACE. The license is no longer active. It was granted on 03/17/1997 and expired on 12/31/1998
LICENSE DETAILS
- License Number: MA002217L
- Category: Medical Physician Asst
- Status: Inactive
- Date Granted: 03/17/1997 (over 28 years ago)
- Expiry Date: 12/31/1998 (over 26 years ago)
LOCATIONS
A Address
ROCKY MOUNT NC 27804