License holder summary

EMILY ELLIS FAULCONBRIDGE is a Temporary Physician Assistant licensed to practice in Pennsylvania. The address on file for EMILY ELLIS FAULCONBRIDGE is Gibsonia PA 15044. This licensed professional license is not current. The license was granted 05/22/2012 and expired on 05/22/2013.

Pennsylvania

Department of State

EMILY ELLIS FAULCONBRIDGE
Temporary Physician Assistant
License number
TMA052639
Date granted
05/22/2012
Date expires
05/22/2013
Class
Temporary Physician Assistant
Status
Voided
Address
Gibsonia PA 15044
palicensing.org
ID 16655559
LAST UPDATED 2024-04-15 20:31:05 UTC

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