License holder summary

LACEY MARIE GENOVESE is a Temporary Physician Assistant licensed to practice in Pennsylvania. The address on file for LACEY MARIE GENOVESE is Riverside NJ 08075. This licensed professional license is not current. The license was granted 06/01/2011 and expired on 06/01/2012.

Pennsylvania

Department of State

LACEY MARIE GENOVESE
Temporary Physician Assistant
License number
TMA052452
Date granted
06/01/2011
Date expires
06/01/2012
Class
Temporary Physician Assistant
Status
Expired
Address
Riverside NJ 08075
palicensing.org
ID 16655355
LAST UPDATED 2024-04-11 08:08:33 UTC

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