Delaware
Division of Professional Regulation
Jennie L. Queen
Controlled Substances - Physician Assistant Csr
License number
PA0155
Date granted
06/03/2004
Date expires
06/30/2011
Class
Controlled Substances - Physician Assistant Csr
Status
Lapsed
Address
Landenberg PA 19350
delawarelicensing.com
ID 20535450
LAST UPDATED 2024-04-22 23:42:30 UTC
LAST UPDATED 2024-04-22 23:42:30 UTC
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