Pennsylvania
Department of State
AMIE L PROKOP
Medical Physician Assistant
License number
MA053136
Date granted
09/13/2007
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Hershey PA 17033-0850
palicensing.org
ID 16638007
LAST UPDATED 2024-04-05 15:23:47 UTC
LAST UPDATED 2024-04-05 15:23:47 UTC
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