Pennsylvania
Department of State
SUSAN E LACKEY
Medical Physician Assistant
License number
MA002163L
Date granted
07/24/1996
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
PHILADELPHIA PA 19154
palicensing.org
ID 16634128
LAST UPDATED 2024-02-27 05:25:56 UTC
LAST UPDATED 2024-02-27 05:25:56 UTC
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