License holder summary

Theodore Marino Ezekiel Gagianas is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for Theodore Marino Ezekiel Gagianas is Beaver PA 15009. This licensed professional license is current. The license was granted 11/02/2015 and expired on 12/31/2016.

Pennsylvania

Department of State

Theodore Marino Ezekiel Gagianas
Medical Physician Assistant
License number
MA058003
Date granted
11/02/2015
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Beaver PA 15009
palicensing.org
ID 37694556
LAST UPDATED 2024-05-01 04:56:58 UTC

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