License holder summary

AMANDA LYNN BLACK is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for AMANDA LYNN BLACK is Butler PA 16002. This licensed professional license is not current. The license was granted 05/28/2010 and expired on 12/31/2010.

Pennsylvania

Department of State

AMANDA LYNN BLACK
Medical Physician Assistant
License number
MA054360
Date granted
05/28/2010
Date expires
12/31/2010
Class
Medical Physician Assistant
Status
Expired
Address
Butler PA 16002
palicensing.org
ID 16639238
LAST UPDATED 2024-03-10 03:45:21 UTC

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