RANDI LYN SHUPP

Medical Physician Assistant

Pennsylvania  MA051867   Active

This Pennsylvania license is held by RANDI LYN SHUPP. The license is currently active. It was granted on 10/07/2004 and expired on 12/31/2016

LICENSE DETAILS

  • License Number: MA051867
  • Category: Medical Physician Asst
  • Status: Active
  • Date Granted: 10/07/2004 (over 20 years ago)
  • Expiry Date: 12/31/2016 (over 8 years ago)

LOCATIONS

A Address

Allentown PA 18105