Pennsylvania
Department of State
PHYLLIS B FANE
Medical Physician Assistant
License number
MA000136L
Date granted
03/18/1980
Date expires
12/31/1982
Class
Medical Physician Assistant
Status
Inactive
Address
MEDIA PA 19063
palicensing.org
ID 37694286
LAST UPDATED 2024-04-25 13:46:39 UTC
LAST UPDATED 2024-04-25 13:46:39 UTC
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