License holder summary

LISA M VIVIAN is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for LISA M VIVIAN is Dubois PA 15801. This licensed professional license is current. The license was granted 06/14/2010 and expired on 12/31/2016.

Pennsylvania

Department of State

LISA M VIVIAN
Medical Physician Assistant
License number
MA054395
Date granted
06/14/2010
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Dubois PA 15801
palicensing.org
ID 16639234
LAST UPDATED 2026-06-12 16:19:20 UTC

This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.

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