License holder summary

MARISSA RENEE DEFONDE is a Temporary Physician Assistant licensed to practice in Pennsylvania. The address on file for MARISSA RENEE DEFONDE is Ellwood City PA 16117. This licensed professional license is not current. The license was granted 09/06/2011 and expired on 09/06/2012.

Pennsylvania

Department of State

MARISSA RENEE DEFONDE
Temporary Physician Assistant
License number
TMA052585
Date granted
09/06/2011
Date expires
09/06/2012
Class
Temporary Physician Assistant
Status
Voided
Address
Ellwood City PA 16117
palicensing.org
ID 16655516
LAST UPDATED 2024-03-28 17:47:39 UTC

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