License holder summary

KENNETH J BANNON is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for KENNETH J BANNON is WAYMART PA 18472-0327. This licensed professional license is current. The license was granted 07/22/1987 and expired on 12/31/2016.

Pennsylvania

Department of State

KENNETH J BANNON
Medical Physician Assistant
License number
MA001023L
Date granted
07/22/1987
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
WAYMART PA 18472-0327
palicensing.org
ID 16633050
LAST UPDATED 2024-04-29 18:43:56 UTC

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