License holder summary

BREA LYNN INTERVAL is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for BREA LYNN INTERVAL is Canonsburg PA 15317. This licensed professional license is current. The license was granted 10/03/2005 and expired on 12/31/2016.

Pennsylvania

Department of State

BREA LYNN INTERVAL
Medical Physician Assistant
License number
MA052256
Date granted
10/03/2005
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Canonsburg PA 15317
palicensing.org
ID 16637189
LAST UPDATED 2024-03-27 11:14:52 UTC

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