Pennsylvania
Department of State
MARY BETH POLVOORDE-DIVIS
Medicine - Athletic Trainer
License number
RT000626B
Date granted
09/02/1988
Date expires
12/31/2000
Class
Medicine - Athletic Trainer
Status
Inactive
Address
MEDIA PA 19063
palicensing.org
ID 16615946
LAST UPDATED 2026-05-05 14:34:46 UTC
LAST UPDATED 2026-05-05 14:34:46 UTC
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