License holder summary

RANDI LYN SHUPP is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for RANDI LYN SHUPP is Allentown PA 18105. This licensed professional license is current. The license was granted 10/07/2004 and expired on 12/31/2016.

Pennsylvania

Department of State

RANDI LYN SHUPP
Medical Physician Assistant
License number
MA051867
Date granted
10/07/2004
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Allentown PA 18105
palicensing.org
ID 16636788
LAST UPDATED 2024-03-23 22:44:31 UTC

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