License holder summary

DIANE MARIE PETROVICH is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for DIANE MARIE PETROVICH is WESTON PA 18256. This licensed professional license is not current. The license was granted 12/05/1979 and expired on 12/31/1998.

Pennsylvania

Department of State

DIANE MARIE PETROVICH
Medical Physician Assistant
License number
MA000042L
Date granted
12/05/1979
Date expires
12/31/1998
Class
Medical Physician Assistant
Status
Inactive
Address
WESTON PA 18256
palicensing.org
ID 37695533
LAST UPDATED 2024-04-19 09:42:11 UTC

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