License holder summary

KIM LOUISE FUDGE is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for KIM LOUISE FUDGE is Philadelphia PA 19134. This licensed professional license is current. The license was granted 01/21/1999 and expired on 12/31/2016.

Pennsylvania

Department of State

KIM LOUISE FUDGE
Medical Physician Assistant
License number
MA002885L
Date granted
01/21/1999
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Philadelphia PA 19134
palicensing.org
ID 16634771
LAST UPDATED 2024-05-08 20:47:23 UTC

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