License holder summary

STACEY LYNN FERGUSON is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for STACEY LYNN FERGUSON is Allison Park PA 15101. This licensed professional license is current. The license was granted 11/21/2012 and expired on 12/31/2016.

Pennsylvania

Department of State

STACEY LYNN FERGUSON
Medical Physician Assistant
License number
MA055904
Date granted
11/21/2012
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Allison Park PA 15101
palicensing.org
ID 37694337
LAST UPDATED 2024-03-16 21:05:38 UTC

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