License holder summary

GINA L FAGAN is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for GINA L FAGAN is HOLLAND PA 18966. This licensed professional license is not current. The license was granted 04/04/1988 and expired on 12/31/1990.

Pennsylvania

Department of State

GINA L FAGAN
Medical Physician Assistant
License number
MA001110L
Date granted
04/04/1988
Date expires
12/31/1990
Class
Medical Physician Assistant
Status
Inactive
Address
HOLLAND PA 18966
palicensing.org
ID 16633136
LAST UPDATED 2024-03-29 08:05:36 UTC

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