License holder summary

Timothy P. Wallace is a Physician Assistant licensed to practice in New Jersey. This licensed professional license is current. The license was granted 09/07/2011 and expired on 08/31/2015.

New Jersey

Division of Consumer Affairs

Timothy P. Wallace
Physician Assistant
License number
25MP00266600
Date granted
09/07/2011
Date expires
08/31/2015
Class
Physician Assistant
Status
Active
licensingnj.com
ID 9705101
LAST UPDATED 2026-06-14 00:23:14 UTC

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