Pennsylvania Code § 35-8156

Penalties.
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(a) Unlicensed agency.-- A person who operates a service or vehicle for which a license is required under section 8129 (relating to emergency medical services agencies) and who does not have a license to operate the service or vehicle commits a misdemeanor of the third degree.
(b) Unauthorized practice.-- A person who provides EMS without an EMS provider's certification or other legal authority to provide EMS commits a misdemeanor of the third degree. A provider who provides EMS without a current registration of the EMS provider's certification and without other legal authority to provide EMS commits a summary offense.
(c) Fine.-- In addition to any other civil remedy or criminal penalty provided for under this chapter, the department may levy a civil penalty of up to $5,000 per day upon a person who owns or operates an EMS agency in this Commonwealth, without having a license to operate that agency in this Commonwealth, and a fine of up to $1,000 per day upon a person who provides EMS without an EMS provider's certification or other legal authority to provide EMS.

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