Pennsylvania
Department of State
Derek Pivac
Medical Physician Assistant
License number
MA057508
Date granted
03/05/2015
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Holland PA 18966
palicensing.org
ID 37695664
LAST UPDATED 2024-03-13 10:05:56 UTC
LAST UPDATED 2024-03-13 10:05:56 UTC
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