License holder summary

THEODROS GABRE MARIAM is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for THEODROS GABRE MARIAM is Lansdale PA 19446. This licensed professional license is current. The license was granted 07/30/2007 and expired on 12/31/2016.

Pennsylvania

Department of State

THEODROS GABRE MARIAM
Medical Physician Assistant
License number
MA053056
Date granted
07/30/2007
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Lansdale PA 19446
palicensing.org
ID 16637916
LAST UPDATED 2024-03-03 13:55:23 UTC

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