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
LAST UPDATED 2024-03-28 17:47:39 UTC
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