Pennsylvania
Department of State
THERESA R BODINE
Medical Physician Assistant
License number
MA001414L
Date granted
03/19/1991
Date expires
12/31/1994
Class
Medical Physician Assistant
Status
Expired
Address
PENN YAN NY 14527-9637
palicensing.org
ID 16633440
LAST UPDATED 2024-02-24 11:06:28 UTC
LAST UPDATED 2024-02-24 11:06:28 UTC
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