Delaware
Division of Professional Regulation
Mary Jo R. Dougherty
Controlled Substances - Physician Assistant Csr
License number
DA-0006533
Date granted
09/04/2008
Date expires
06/30/2011
Class
Controlled Substances - Physician Assistant Csr
Status
Lapsed
Address
Kennett Square PA 19348
delawarelicensing.com
ID 20534901
LAST UPDATED 2024-02-23 18:52:08 UTC
LAST UPDATED 2024-02-23 18:52:08 UTC
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