Pennsylvania
Department of State
AMY MICHELE DIETZ
Medical Physician Assistant
License number
MA053909
Date granted
06/23/2009
Date expires
12/31/2012
Class
Medical Physician Assistant
Status
Inactive
Address
Roselle Park NJ 07204
palicensing.org
ID 16638689
LAST UPDATED 2026-05-16 09:21:18 UTC
LAST UPDATED 2026-05-16 09:21:18 UTC
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