License holder summary

SUSAN EILEEN MARTIN is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for SUSAN EILEEN MARTIN is Fairfax VA 22031. This licensed professional license is not current. The license was granted 02/15/2006 and expired on 12/31/2006.

Pennsylvania

Department of State

SUSAN EILEEN MARTIN
Medical Physician Assistant
License number
MA052467
Date granted
02/15/2006
Date expires
12/31/2006
Class
Medical Physician Assistant
Status
Inactive
Address
Fairfax VA 22031
palicensing.org
ID 16637351
LAST UPDATED 2024-04-05 05:08:50 UTC

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