License holder summary

MARK W HENNICKE is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for MARK W HENNICKE is Elizabeth PA 15037. This licensed professional license is current. The license was granted 01/26/1999 and expired on 12/31/2016.

Pennsylvania

Department of State

MARK W HENNICKE
Medical Physician Assistant
License number
MA002773L
Date granted
01/26/1999
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Elizabeth PA 15037
palicensing.org
ID 16634675
LAST UPDATED 2024-01-26 07:37:21 UTC

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