JEFFREY LEE FAHNESTOCK
Medical Physician Assistant
Pennsylvania MA001458L Revoked
This Pennsylvania license was held by JEFFREY LEE FAHNESTOCK. The license is no longer active. It was granted on 03/28/1991 and expired on 12/31/2006
LICENSE DETAILS
- License Number: MA001458L
- Category: Medical Physician Asst
- Status: Revoked
- Date Granted: 03/28/1991 (about 34 years ago)
- Expiry Date: 12/31/2006 (over 18 years ago)
LOCATIONS
A Address
Hershey PA 17033