SAMANTHA HIDAYAT
Medical Physician Assistant
Pennsylvania MA056451 Expired
This Pennsylvania license was held by SAMANTHA HIDAYAT. The license is no longer active. It was granted on 09/19/2013 and expired on 12/31/2014
LICENSE DETAILS
- License Number: MA056451
- Category: Medical Physician Asst
- Status: Expired
- Date Granted: 09/19/2013 (almost 11 years ago)
- Expiry Date: 12/31/2014 (over 9 years ago)
LOCATIONS
A Address
Mount Laurel NJ 08054