License holder summary

ADRIANA DISTANISLAO is a Temporary Physician Assistant licensed to practice in Pennsylvania. The address on file for ADRIANA DISTANISLAO is Philadelphia PA 19130. This licensed professional license is not current. The license was granted 09/09/2013 and expired on 09/09/2014.

Pennsylvania

Department of State

ADRIANA DISTANISLAO
Temporary Physician Assistant
License number
TMA052856
Date granted
09/09/2013
Date expires
09/09/2014
Class
Temporary Physician Assistant
Status
Voided
Address
Philadelphia PA 19130
palicensing.org
ID 16655769
LAST UPDATED 2024-04-13 10:49:44 UTC

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