License holder summary

LARISSA A PAVLENKO is a Temporary Physician Assistant licensed to practice in Pennsylvania. The address on file for LARISSA A PAVLENKO is WILKES BARRE PA 18705. This licensed professional license is not current. The license was granted 08/31/2000 and expired on 08/31/2001.

Pennsylvania

Department of State

LARISSA A PAVLENKO
Temporary Physician Assistant
License number
MA003388L
Date granted
08/31/2000
Date expires
08/31/2001
Class
Temporary Physician Assistant
Status
Expired
Address
WILKES BARRE PA 18705
palicensing.org
ID 16653504
LAST UPDATED 2024-02-18 00:23:32 UTC

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