License holder summary

SUSAN E LACKEY is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for SUSAN E LACKEY is PHILADELPHIA PA 19154. This licensed professional license is current. The license was granted 07/24/1996 and expired on 12/31/2016.

Pennsylvania

Department of State

SUSAN E LACKEY
Medical Physician Assistant
License number
MA002163L
Date granted
07/24/1996
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
PHILADELPHIA PA 19154
palicensing.org
ID 16634128
LAST UPDATED 2024-04-27 10:57:51 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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