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 The license is no longer active.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