Pennsylvania
Department of State
MARY AGNES PIECHOTA
Medicine - Athletic Trainer
License number
RT000295A
Date granted
11/09/1987
Date expires
12/31/2014
Class
Medicine - Athletic Trainer
Status
Active
Address
SAYLORSBURG PA 18353
palicensing.org
ID 16620802
LAST UPDATED 2026-05-21 06:31:17 UTC
LAST UPDATED 2026-05-21 06:31:17 UTC
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