Jennifer Lea Wallace

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085002421

Status

Inactive

First issued

December 2, 2004

Expired

March 1, 2010

License holder

Jennifer Lea Wallace

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

12/14/2007

Other Illinois licenses under this name

• IL
  Jennifer Lea Wallace

  License 38*****23

  Physician Assistant Controlled Substance
  Expired

  Chicago, IL

  Expired Mar 1, 2010

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