Pennsylvania
Department of State
STEPHANY ANNE WAILGUM
Medical Physician Assistant
License number
MA057245
Date granted
09/24/2014
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Erie PA 16509
palicensing.org
ID 37696461
LAST UPDATED 2024-02-26 23:34:13 UTC
LAST UPDATED 2024-02-26 23:34:13 UTC
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