Pennsylvania
Department of State
LISA MARIE BLACK
Medical Physician Assistant
License number
MA002623L
Date granted
03/30/1998
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Stowe VT 05672
palicensing.org
ID 16634538
LAST UPDATED 2024-02-23 18:28:41 UTC
LAST UPDATED 2024-02-23 18:28:41 UTC
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