License holder summary

TAMARA LYNN FAZZOLARE is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for TAMARA LYNN FAZZOLARE is PITTSBURGH PA 15243. This licensed professional license is current. The license was granted 03/15/2000 and expired on 12/31/2016.

Pennsylvania

Department of State

TAMARA LYNN FAZZOLARE
Medical Physician Assistant
License number
MA003078L
Date granted
03/15/2000
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
PITTSBURGH PA 15243
palicensing.org
ID 16634930
LAST UPDATED 2024-04-29 07:02:12 UTC

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