License holder summary

SAMUEL BRIAN GREEN is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for SAMUEL BRIAN GREEN is Shamong NJ 08088. This licensed professional license is not current. The license was granted 12/06/2000 and expired on 12/31/2004.

Pennsylvania

Department of State

SAMUEL BRIAN GREEN
Medical Physician Assistant
License number
MA003445L
Date granted
12/06/2000
Date expires
12/31/2004
Class
Medical Physician Assistant
Status
Expired
Address
Shamong NJ 08088
palicensing.org
ID 16635242
LAST UPDATED 2024-04-27 10:10:06 UTC

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