New Mexico
Regulation & Licensing Department
Stacy Allen
Physician Assistant - Medical
License number
PA2012-0017
Date granted
05/15/2012
Date expires
03/01/2015
Class
Physician Assistant - Medical
Status
Active
licensingnm.com
ID 5274480
LAST UPDATED 2024-04-03 00:31:22 UTC
LAST UPDATED 2024-04-03 00:31:22 UTC
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