License holder summary

CAROLYN DIANE SMITH is a Temporary Physician Assistant licensed to practice in Pennsylvania. The address on file for CAROLYN DIANE SMITH is PHILADELPHIA PA 19143. This licensed professional license is not current. The license was granted 11/01/1996 and expired on 11/30/1997.

Pennsylvania

Department of State

CAROLYN DIANE SMITH
Temporary Physician Assistant
License number
MA002339L
Date granted
11/01/1996
Date expires
11/30/1997
Class
Temporary Physician Assistant
Status
Inactive
Address
PHILADELPHIA PA 19143
palicensing.org
ID 16653141
LAST UPDATED 2024-02-28 15:09:17 UTC

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