License holder summary

TANYA DOMINA ANTOSY is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for TANYA DOMINA ANTOSY is ARDMORE PA 19003. This licensed professional license is current. The license was granted 09/25/2007 and expired on 12/31/2016.

Pennsylvania

Department of State

TANYA DOMINA ANTOSY
Medical Physician Assistant
License number
MA053181
Date granted
09/25/2007
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
ARDMORE PA 19003
palicensing.org
ID 16638081
LAST UPDATED 2024-05-27 14:52:38 UTC

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