License holder summary

THEODORE W WALLACE is a Health Care - Physician Assistant License licensed to practice in Washington. This medical licensee license is current. The license was granted 07/05/1997 and expired on 04/03/2017.

Washington

Medical Commission

THEODORE W WALLACE
Health Care - Physician Assistant License
License number
PA10003556
Date granted
07/05/1997
Date expires
04/03/2017
Class
Health Care - Physician Assistant License
Status
Active
wamedicine.com
ID 39809112
LAST UPDATED 2026-06-19 19:06:48 UTC

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