LISA HEIW BLACK

Medical Physician Assistant

Pennsylvania  MA003377L   Active

This Pennsylvania license is held by LISA HEIW BLACK. The license is currently active. It was granted on 11/16/2000 and expired on 12/31/2016

LICENSE DETAILS

  • License Number: MA003377L
  • Category: Medical Physician Asst
  • Status: Active
  • Date Granted: 11/16/2000 (over 23 years ago)
  • Expiry Date: 12/31/2016 (over 7 years ago)

LOCATIONS

A Address

Wynnewood PA 19096