MEREDITH ANN WICKLINE - Physician Assistant License in Pennsylvania | # 085002373

MEREDITH ANN WICKLINE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002373

License Status

NOT RENEWED

Business

N

First Name

MEREDITH

Middle

ANN

Last Name

WICKLINE

Business Name

MEREDITH ANN WICKLINE

Original Issue Date

10/05/2004

Effective Date

10/05/2004

Expiration Date

03/01/2006

State

PA

Ever Disciplined

N

LastModifiedDate

10/09/2006