License holder summary

DIANNA ELIZABETH WINE is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for DIANNA ELIZABETH WINE is Philadelphia PA 19106. This licensed professional license is current. The license was granted 08/09/2012 and expired on 12/31/2016.

Pennsylvania

Department of State

DIANNA ELIZABETH WINE
Medical Physician Assistant
License number
MA055676
Date granted
08/09/2012
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Philadelphia PA 19106
palicensing.org
ID 37696386
LAST UPDATED 2024-04-02 03:48:13 UTC

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