License holder summary

JORDAN LARA ANTISDEL is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for JORDAN LARA ANTISDEL is New Kensington PA 15068. This licensed professional license is current. The license was granted 07/15/2013 and expired on 12/31/2016.

Pennsylvania

Department of State

JORDAN LARA ANTISDEL
Medical Physician Assistant
License number
MA056245
Date granted
07/15/2013
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
New Kensington PA 15068
palicensing.org
ID 37693581
LAST UPDATED 2024-04-04 08:42:25 UTC

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