License holder summary

MARK WILLIAM VERGAUWEN is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for MARK WILLIAM VERGAUWEN is Lewisburg PA 17837. This licensed professional license is current. The license was granted 01/30/2001 and expired on 12/31/2016.

Pennsylvania

Department of State

MARK WILLIAM VERGAUWEN
Medical Physician Assistant
License number
MA003550L
Date granted
01/30/2001
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Lewisburg PA 17837
palicensing.org
ID 16635335
LAST UPDATED 2024-03-18 15:46:37 UTC

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