License holder summary

ALISSA NICOLE WALLACE is a Physical Therapist licensed to practice in Indiana. The address on file for ALISSA NICOLE WALLACE is Cicero IN 46034. This licensed professional license is current. The license was granted 10/02/1998 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

ALISSA NICOLE WALLACE
Physical Therapist
License number
05006292A
Date granted
10/02/1998
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
Cicero IN 46034
indianalicensing.org
ID 8367787
LAST UPDATED 2024-02-20 01:06:57 UTC

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