Pennsylvania
Department of State
TARA JANE SHAPICH
Medical Physician Assistant
License number
MA051716
Date granted
06/22/2004
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Bellefonte PA 16823
palicensing.org
ID 16636679
LAST UPDATED 2024-05-20 09:41:44 UTC
LAST UPDATED 2024-05-20 09:41:44 UTC
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