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
LAST UPDATED 2024-04-29 18:43:56 UTC
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