Jennifer Lea Wallace

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

38*****23

Status

Expired (Not Renewed)

First issued

June 21, 2005

Expired

March 1, 2010

License holder

Jennifer Lea Wallace

Entity type

Individual

Classifications

• Physician Assistant Controlled Substance Physicians & Surgeons

More from the license record

Current term began

12/14/2007

Other Illinois licenses under this name

• IL
  Jennifer Lea Wallace

  License 085002421

  Licensed Physician Assistant
  Inactive

  Sarasota, FL

  Expired Mar 1, 2010

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