Physician Assistant
Nicole E Wallace
Lakeland, Polk County
Licensed and active
Clear, active · good through Jan 31, 2028
Physician Assistant license PA9103316
- License number
- PA9103316
- Status
- Clear, active
- First licensed
- Jun 20, 2005
- Status since
- Jun 20, 2005
- Expires
- Jan 31, 2028
- Licensed by
- Florida Department of Health (DOH)
About this license
Nicole E Wallace holds a physician assistant license from the Florida Department of Health (DOH), number PA9103316. It was first issued on Jun 20, 2005. The state lists its status as “Clear, active”, and it is good through Jan 31, 2028. The city of record is Lakeland, Polk County.