Pennsylvania
Department of State
LISA C BRENIZE
Medical Physician Assistant
License number
MA051112
Date granted
10/16/2002
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
HARRISBURG PA 17111
palicensing.org
ID 16636097
LAST UPDATED 2024-02-18 04:46:17 UTC
LAST UPDATED 2024-02-18 04:46:17 UTC
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