Pennsylvania
Department of State
KALLIE M BASHOR
Medical Physician Assistant
License number
MA057499
Date granted
02/24/2015
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Oak Creek WI 53154
palicensing.org
ID 37693831
LAST UPDATED 2026-05-19 04:43:56 UTC
LAST UPDATED 2026-05-19 04:43:56 UTC
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