License holder summary

GINA MICHELLE LUCKIANOW is a Temporary Physician Assistant licensed to practice in Pennsylvania. The address on file for GINA MICHELLE LUCKIANOW is Wayne PA 19087. This licensed professional license is not current. The license was granted 07/19/2004 and expired on 07/19/2005.

Pennsylvania

Department of State

GINA MICHELLE LUCKIANOW
Temporary Physician Assistant
License number
TMA051270
Date granted
07/19/2004
Date expires
07/19/2005
Class
Temporary Physician Assistant
Status
Expired
Address
Wayne PA 19087
palicensing.org
ID 16654214
LAST UPDATED 2024-05-25 13:26:00 UTC

This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.

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