Pennsylvania
Department of State
SHELLEY RAE BLAKER
Medical Physician Assistant
License number
MA053673
Date granted
09/24/2008
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Philadelphia PA 19144
palicensing.org
ID 16638442
LAST UPDATED 2026-03-29 12:59:00 UTC
LAST UPDATED 2026-03-29 12:59:00 UTC
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