License holder summary

JEAN M ANTONUCCI is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for JEAN M ANTONUCCI is SACO ME 04072. This licensed professional license is not current. The license was granted 10/16/1979 and expired on 12/31/1984.

Pennsylvania

Department of State

JEAN M ANTONUCCI
Medical Physician Assistant
License number
MA000001L
Date granted
10/16/1979
Date expires
12/31/1984
Class
Medical Physician Assistant
Status
Expired
Address
SACO ME 04072
palicensing.org
ID 16632520
LAST UPDATED 2024-02-17 13:19:48 UTC

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