License holder summary

JACLYN MICHELLE AUGUSTENSEN is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for JACLYN MICHELLE AUGUSTENSEN is Lakewood NJ 08701. This licensed professional license is not current. The license was granted 08/04/2008 and expired on 12/31/2008.

Pennsylvania

Department of State

JACLYN MICHELLE AUGUSTENSEN
Medical Physician Assistant
License number
MA053502
Date granted
08/04/2008
Date expires
12/31/2008
Class
Medical Physician Assistant
Status
Inactive
Address
Lakewood NJ 08701
palicensing.org
ID 16638405
LAST UPDATED 2024-04-10 08:20:17 UTC

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