License holder summary

KELLY MICHELE DALLAS is a Temporary Physician Assistant licensed to practice in Pennsylvania. The address on file for KELLY MICHELE DALLAS is Cherry Hill NJ 08003. This licensed professional license is not current. The license was granted 08/24/2012 and expired on 08/24/2013.

Pennsylvania

Department of State

KELLY MICHELE DALLAS
Temporary Physician Assistant
License number
TMA052686
Date granted
08/24/2012
Date expires
08/24/2013
Class
Temporary Physician Assistant
Status
Voided
Address
Cherry Hill NJ 08003
palicensing.org
ID 16655612
LAST UPDATED 2024-03-05 05:16:10 UTC

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