License holder summary

STACEY LEMPFERT FORNAROTTO is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for STACEY LEMPFERT FORNAROTTO is Bethlehem PA 18017. This licensed professional license is current. The license was granted 02/12/1996 and expired on 12/31/2016.

Pennsylvania

Department of State

STACEY LEMPFERT FORNAROTTO
Medical Physician Assistant
License number
MA002023L
Date granted
02/12/1996
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Bethlehem PA 18017
palicensing.org
ID 16634010
LAST UPDATED 2024-04-29 04:58:01 UTC

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