License holder summary

PHILLY M WALL is a Physician Assistants - Physician Assistant licensed to practice in Iowa. The address on file for PHILLY M WALL is 500 32nd St. NE CEDAR RAPIDS IA 52402. This licensed professional license is current. The license was granted 02/01/2007 and expired on 09/30/2015.

Iowa

Professional Licensing Bureau

PHILLY M WALL
Physician Assistants - Physician Assistant
License number
001778
Date granted
02/01/2007
Date expires
09/30/2015
Class
Physician Assistants - Physician Assistant
Status
Active
Address
500 32nd St. NE CEDAR RAPIDS IA 52402
iowalicenses.org
ID 24190094
LAST UPDATED 2024-04-16 06:26:28 UTC

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