Pennsylvania
Department of State
NGHI MY LAC
Temporary Physician Assistant
License number
TMA052753
Date granted
02/06/2013
Date expires
02/06/2014
Class
Temporary Physician Assistant
Status
Voided
Address
Philadelphia PA 19111
palicensing.org
ID 16655667
LAST UPDATED 2026-06-08 06:30:11 UTC
LAST UPDATED 2026-06-08 06:30:11 UTC
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