License holder summary

JILL DIANE NELSON is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for JILL DIANE NELSON is Randolph NY 14772. This licensed professional license is current. The license was granted 04/05/2016 and expired on 12/31/2016.

Pennsylvania

Department of State

JILL DIANE NELSON
Medical Physician Assistant
License number
MA058182
Date granted
04/05/2016
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Randolph NY 14772
palicensing.org
ID 37695479
LAST UPDATED 2024-04-07 08:36:50 UTC

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