License holder summary

GRACIA JANE FAIRBANKS is a Temporary Physician Assistant licensed to practice in Pennsylvania. The address on file for GRACIA JANE FAIRBANKS is JAMESTOWN NY 14701. This licensed professional license is not current. The license was granted 09/18/1997 and expired on 09/30/1998.

Pennsylvania

Department of State

GRACIA JANE FAIRBANKS
Temporary Physician Assistant
License number
MA002522L
Date granted
09/18/1997
Date expires
09/30/1998
Class
Temporary Physician Assistant
Status
Inactive
Address
JAMESTOWN NY 14701
palicensing.org
ID 16653196
LAST UPDATED 2024-02-08 00:17:00 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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