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 2026-03-11 10:49:04 UTC
LAST UPDATED 2026-03-11 10:49:04 UTC
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