License holder summary

LAUREL DOMENICK is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for LAUREL DOMENICK is GWYNEDD VALLEY PA 19437-0021. This licensed professional license is current. The license was granted 01/13/1992 and expired on 12/31/2016.

Pennsylvania

Department of State

LAUREL DOMENICK
Medical Physician Assistant
License number
MA001501L
Date granted
01/13/1992
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
GWYNEDD VALLEY PA 19437-0021
palicensing.org
ID 16633527
LAST UPDATED 2024-03-04 22:40:47 UTC

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