License holder summary

LACY ADELE MAGAGNOTTI is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for LACY ADELE MAGAGNOTTI is Punxsutawney PA 15767. This licensed professional license is not current. The license was granted 07/11/2012 and expired on 12/31/2014.

Pennsylvania

Department of State

LACY ADELE MAGAGNOTTI
Medical Physician Assistant
License number
MA055620
Date granted
07/11/2012
Date expires
12/31/2014
Class
Medical Physician Assistant
Status
Expired
Address
Punxsutawney PA 15767
palicensing.org
ID 37695201
LAST UPDATED 2024-04-13 14:27:26 UTC

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