Pennsylvania
Department of State
CAROL VANDERPOEL BLAKE
Medical Physician Assistant
License number
MA055489
Date granted
05/07/2012
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Lancaster PA 17601
palicensing.org
ID 37693703
LAST UPDATED 2024-03-22 07:21:50 UTC
LAST UPDATED 2024-03-22 07:21:50 UTC
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