Pennsylvania
Department of State
KELLY LYNN SUPAN
Medical Physician Assistant
License number
MA055024
Date granted
07/19/2011
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Hummelstown PA 17036
palicensing.org
ID 16639923
LAST UPDATED 2024-03-21 17:56:09 UTC
LAST UPDATED 2024-03-21 17:56:09 UTC
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