SUSAN E LACKEY

Medical Physician Assistant

Pennsylvania  MA002163L   Active

This Pennsylvania license is held by SUSAN E LACKEY. The license is currently active. It was granted on 07/24/1996 and expired on 12/31/2016

LICENSE DETAILS

  • License Number: MA002163L
  • Category: Medical Physician Asst
  • Status: Active
  • Date Granted: 07/24/1996 (almost 28 years ago)
  • Expiry Date: 12/31/2016 (over 7 years ago)

LOCATIONS

A Address

PHILADELPHIA PA 19154