License holder summary

Timothy P. Wallace is a Medical Practice - Physician Assistant licensed to practice in Delaware. The address on file for Timothy P. Wallace is Brooklyn NY 11215. This licensed professional license is not current. The license was granted 03/07/2007 and expired on 03/31/2009.

Delaware

Division of Professional Regulation

Timothy P. Wallace
Medical Practice - Physician Assistant
License number
C5-0000580
Date granted
03/07/2007
Date expires
03/31/2009
Class
Medical Practice - Physician Assistant
Status
Expired
Address
Brooklyn NY 11215
delawarelicensing.com
ID 20581810
LAST UPDATED 2024-02-20 11:08:49 UTC

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