License holder summary

LYDIA B SULLIVAN is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for LYDIA B SULLIVAN is MARSHALLVILLE GA 31057. This licensed professional license is not current. The license was granted 03/03/1992 and expired on 12/31/1992.

Pennsylvania

Department of State

LYDIA B SULLIVAN
Medical Physician Assistant
License number
MA001532L
Date granted
03/03/1992
Date expires
12/31/1992
Class
Medical Physician Assistant
Status
Inactive
Address
MARSHALLVILLE GA 31057
palicensing.org
ID 16633558
LAST UPDATED 2024-05-11 12:40:49 UTC

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