License holder summary

KELLY S MICKULIK is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for KELLY S MICKULIK is Wyomissing PA 19610. This licensed professional license is current. The license was granted 02/01/2002 and expired on 12/31/2016.

Pennsylvania

Department of State

KELLY S MICKULIK
Medical Physician Assistant
License number
MA050888
Date granted
02/01/2002
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Wyomissing PA 19610
palicensing.org
ID 16635875
LAST UPDATED 2024-04-25 17:07:47 UTC

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