License holder summary

Wallace, Jeffrey Wayne is a Physician Assistant licensed to practice in Missouri. This licensed professional license is current. The license was granted 08/02/2005 and expired on 01/31/2014.

Missouri

Division of Professional Registration

Wallace, Jeffrey Wayne
Physician Assistant
License number
2005024101  
Date granted
08/02/2005
Date expires
01/31/2014
Class
Physician Assistant
Status
Clear
licensingmissouri.org
ID 2196045
LAST UPDATED 2024-03-07 05:36:51 UTC

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