License Directory

Stacey Jill Wallach

Expired

California license 30469

License

Licensed by
California Physician Assistant Board
License number
30469
Status
Expired (Delinquent)
First issued
July 14, 1999
Expired
June 30, 2001
License holder
Stacey Jill Wallach
Entity type
Individual

Classifications

More from the license record

License type code
9503

Other California licenses under this name

  • CA
    Stacey Jill Wallach
    License A68624
    Physician and Surgeon A
    Active
    Sacramento, CA
    Expires Apr 30, 2027

Contact

2790 Atlantic Ave, #B
Long Beach, CA 90806
Los Angeles County