License holder summary

DARRYLL WADE BLACK is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for DARRYLL WADE BLACK is Ambridge PA 15003. This licensed professional license is current. The license was granted 02/25/2008 and expired on 12/31/2016.

Pennsylvania

Department of State

DARRYLL WADE BLACK
Medical Physician Assistant
License number
MA053346
Date granted
02/25/2008
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Ambridge PA 15003
palicensing.org
ID 16638201
LAST UPDATED 2024-05-06 07:16:33 UTC

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