Pennsylvania
Department of State
LISA HEIW BLACK
Medical Physician Assistant
License number
MA003377L
Date granted
11/16/2000
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Wynnewood PA 19096
palicensing.org
ID 16635554
LAST UPDATED 2024-03-20 09:52:04 UTC
LAST UPDATED 2024-03-20 09:52:04 UTC
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