License holder summary

KYLIE JO WOOD FONTOURA is a Temporary Physician Assistant licensed to practice in Pennsylvania. The address on file for KYLIE JO WOOD FONTOURA is Philadelphia PA 19131. This licensed professional license is not current. The license was granted 08/29/2012 and expired on 08/29/2013.

Pennsylvania

Department of State

KYLIE JO WOOD FONTOURA
Temporary Physician Assistant
License number
TMA052693
Date granted
08/29/2012
Date expires
08/29/2013
Class
Temporary Physician Assistant
Status
Voided
Address
Philadelphia PA 19131
palicensing.org
ID 16655607
LAST UPDATED 2024-02-25 13:46:56 UTC

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