Pennsylvania
Department of State
GENET MARIE DEFAZIO
Medical Physician Assistant
License number
MA055034
Date granted
07/26/2011
Date expires
12/31/2012
Class
Medical Physician Assistant
Status
Inactive
Address
New York NY 10010
palicensing.org
ID 16639795
LAST UPDATED 2024-02-23 23:12:34 UTC
LAST UPDATED 2024-02-23 23:12:34 UTC
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