License holder summary

DOUGLAS EVAN TANNER is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for DOUGLAS EVAN TANNER is Bradford PA 16701. This licensed professional license is not current. The license was granted 05/13/2008 and expired on 12/31/2012.

Pennsylvania

Department of State

DOUGLAS EVAN TANNER
Medical Physician Assistant
License number
MA053382
Date granted
05/13/2008
Date expires
12/31/2012
Class
Medical Physician Assistant
Status
Expired
Address
Bradford PA 16701
palicensing.org
ID 16638268
LAST UPDATED 2024-02-08 06:14:53 UTC

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