Pennsylvania
Department of State
Diana Bast
Medical Physician Assistant
License number
MA057632
Date granted
06/17/2015
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Riverdale NJ 07457
palicensing.org
ID 37693838
LAST UPDATED 2024-04-17 13:36:30 UTC
LAST UPDATED 2024-04-17 13:36:30 UTC
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