Pennsylvania
Department of State
LACY MAE KISSELL
Physical Therapist Assistant
License number
TE008928
Date granted
03/08/2011
Date expires
12/31/2012
Class
Physical Therapist Assistant
Status
Voided
Address
Johnstown PA 15902
palicensing.org
ID 17322975
LAST UPDATED 2026-06-03 06:53:14 UTC
LAST UPDATED 2026-06-03 06:53:14 UTC
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