License holder summary

THOMAS DEFAZIO JR. is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for THOMAS DEFAZIO JR. is CONYNGHAM PA 18219. This licensed professional license is not current. The license was granted 06/09/1980 and expired on 12/31/1984.

Pennsylvania

Department of State

THOMAS DEFAZIO JR.
Medical Physician Assistant
License number
MA000232L
Date granted
06/09/1980
Date expires
12/31/1984
Class
Medical Physician Assistant
Status
Expired
Address
CONYNGHAM PA 18219
palicensing.org
ID 37694093
LAST UPDATED 2024-04-18 19:25:06 UTC

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