License holder summary

DIANE L DAVIS is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for DIANE L DAVIS is Philadelphia PA 19151. This licensed professional license is not current. The license was granted 02/08/2010 and expired on 12/31/2014.

Pennsylvania

Department of State

DIANE L DAVIS
Medical Physician Assistant
License number
MA054307
Date granted
02/08/2010
Date expires
12/31/2014
Class
Medical Physician Assistant
Status
Expired
Address
Philadelphia PA 19151
palicensing.org
ID 16639176
LAST UPDATED 2024-02-08 18:15:05 UTC

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