Michigan
Department of Licensing and Regulation
THERESA MARY WALLACE
Physical Therapy - Physical Therapist Assistant
License number
5502001222
Date granted
10/21/2011
Date expires
07/31/2018
Class
Physical Therapy - Physical Therapist Assistant
Status
Active
Address
michiganlicensing.org
ID 25977860
LAST UPDATED 2024-04-24 15:11:01 UTC
LAST UPDATED 2024-04-24 15:11:01 UTC
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