LISA HEIW BLACK

Osteopathic Physician Assistant

Pennsylvania  OA001009   Expired

This Pennsylvania license was held by LISA HEIW BLACK. The license is no longer active. It was granted on 08/06/2001 and expired on 10/31/2004

LICENSE DETAILS

  • License Number: OA001009
  • Category: Osteopathic Physician Assistant
  • Status: Expired
  • Date Granted: 08/06/2001 (almost 23 years ago)
  • Expiry Date: 10/31/2004 (over 19 years ago)

LOCATIONS

A Address

KING OF PRUSSIA PA 19406