Pennsylvania
Department of State
SIM MARC BASTA
Medical Physician Assistant
License number
MA003182L
Date granted
01/04/2000
Date expires
12/31/2004
Class
Medical Physician Assistant
Status
Inactive
Address
Williamsport PA 17701
palicensing.org
ID 16635017
LAST UPDATED 2024-04-14 18:08:45 UTC
LAST UPDATED 2024-04-14 18:08:45 UTC
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