License holder summary

JUSTIN JOHN FATULA is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for JUSTIN JOHN FATULA is Wyomissing PA 19610. This licensed professional license is current. The license was granted 11/07/2006 and expired on 12/31/2016.

Pennsylvania

Department of State

JUSTIN JOHN FATULA
Medical Physician Assistant
License number
MA052857
Date granted
11/07/2006
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Wyomissing PA 19610
palicensing.org
ID 16637616
LAST UPDATED 2024-06-08 13:20:39 UTC

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