License holder summary

SAMANTHA HIDAYAT is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for SAMANTHA HIDAYAT is Mount Laurel NJ 08054. This licensed professional license is not current. The license was granted 09/19/2013 and expired on 12/31/2014.

Pennsylvania

Department of State

SAMANTHA HIDAYAT
Medical Physician Assistant
License number
MA056451
Date granted
09/19/2013
Date expires
12/31/2014
Class
Medical Physician Assistant
Status
Expired
Address
Mount Laurel NJ 08054
palicensing.org
ID 37694655
LAST UPDATED 2024-04-04 03:51:12 UTC

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