License holder summary

SHELLEY RAE BLAKER is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for SHELLEY RAE BLAKER is Philadelphia PA 19144. This licensed professional license is current. The license was granted 09/24/2008 and expired on 12/31/2016.

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 2024-04-15 10:13:40 UTC

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