License holder summary

STACIE L MALLOY is a Radiology Personnel - Auxiliary Person by Exam licensed to practice in Pennsylvania. The address on file for STACIE L MALLOY is Philadelphia PA 19125. This licensed professional license is current. The license was granted 11/22/2004.

Pennsylvania

Department of State

STACIE L MALLOY
Radiology Personnel - Auxiliary Person by Exam
License number
000484
Date granted
11/22/2004
Class
Radiology Personnel - Auxiliary Person by Exam
Status
Active
Address
Philadelphia PA 19125
palicensing.org
ID 17399083
LAST UPDATED 2024-02-23 19:49:13 UTC

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