Pennsylvania
Department of State
JEFFREY LEE FAHNESTOCK
Medical Physician Assistant
License number
MA001458L
Date granted
03/28/1991
Date expires
12/31/2006
Class
Medical Physician Assistant
Status
Revoked
Address
Hershey PA 17033
palicensing.org
ID 16633484
LAST UPDATED 2024-04-05 20:45:05 UTC
LAST UPDATED 2024-04-05 20:45:05 UTC
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