Pennsylvania
Department of State
Logan Reckord Smith
Temporary Physician Assistant
License number
TMA052959
Date granted
08/25/2014
Date expires
08/25/2015
Class
Temporary Physician Assistant
Status
Voided
Address
Philadelphia PA 19129
palicensing.org
ID 30071578
LAST UPDATED 2024-02-21 18:24:15 UTC
LAST UPDATED 2024-02-21 18:24:15 UTC
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