License holder summary

KELLY LOREN MCCULLOUGH is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for KELLY LOREN MCCULLOUGH is Mars PA 16046. This licensed professional license is current. The license was granted 08/13/2003 and expired on 12/31/2016.

Pennsylvania

Department of State

KELLY LOREN MCCULLOUGH
Medical Physician Assistant
License number
MA051371
Date granted
08/13/2003
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Mars PA 16046
palicensing.org
ID 16636338
LAST UPDATED 2024-03-20 16:08:54 UTC

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