License holder summary

STACY A BENNER is a Temporary Physician Assistant licensed to practice in Pennsylvania. The address on file for STACY A BENNER is MACUNGIE PA 18062. This licensed professional license is not current. The license was granted 08/31/1999 and expired on 08/31/2000.

Pennsylvania

Department of State

STACY A BENNER
Temporary Physician Assistant
License number
MA003020L
Date granted
08/31/1999
Date expires
08/31/2000
Class
Temporary Physician Assistant
Status
Inactive
Address
MACUNGIE PA 18062
palicensing.org
ID 16653367
LAST UPDATED 2026-04-15 01:03:19 UTC

This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.

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