License holder summary

TIMOTHY THOMAS WALLACE JR is a Medical Board - 50.Physician Assistant licensed to practice in Ohio. The address on file for TIMOTHY THOMAS WALLACE JR is richfield, OH 44286. This licensed professional license is not current. The license was granted 08/02/1999 and expired on 01/31/2012.

Ohio

Board of Licensing

TIMOTHY THOMAS WALLACE JR
Medical Board - 50.Physician Assistant
License number
50.001347
Date granted
08/02/1999
Date expires
01/31/2012
Class
Medical Board - 50.Physician Assistant
Status
Inactive
Address
richfield, OH 44286
ohiolicensing.org
ID 28511159
LAST UPDATED 2024-04-17 02:38:08 UTC

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