License holder summary

GERALD LANE DEVAUGHN is a Medicine - Written Agreement licensed to practice in Pennsylvania. The address on file for GERALD LANE DEVAUGHN is 5249 CEDAR AVENUE SUITE A Philadelphia PA 19143. This licensed professional license is current. The license was granted 04/02/2002.

Pennsylvania

Department of State

GERALD LANE DEVAUGHN
Medicine - Written Agreement
License number
MX000552
Date granted
04/02/2002
Class
Medicine - Written Agreement
Status
Active
Address
5249 CEDAR AVENUE SUITE A Philadelphia PA 19143
palicensing.org
ID 16661708
LAST UPDATED 2026-04-21 01:16:45 UTC

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