License holder summary

SHANNON T KELLEY is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for SHANNON T KELLEY is SYRACUSE NY 13209. This licensed professional license is not current. The license was granted 10/25/1994 and expired on 12/31/1996.

Pennsylvania

Department of State

SHANNON T KELLEY
Medical Physician Assistant
License number
MA001937L
Date granted
10/25/1994
Date expires
12/31/1996
Class
Medical Physician Assistant
Status
Revoked
Address
SYRACUSE NY 13209
palicensing.org
ID 16633930
LAST UPDATED 2024-04-16 05:34:10 UTC

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