License holder summary

BRENT BOWIE WIESEL is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for BRENT BOWIE WIESEL is Bala Cynwyd PA 19004. This medical practitioner license is not current. The license was granted 05/29/2002 and expired on 07/31/2008.

Department of State

Board of Medicine

BRENT BOWIE WIESEL
Graduate Medical Trainee
License number
MT180178
Date granted
05/29/2002
Date expires
07/31/2008
Class
Graduate Medical Trainee
Status
Inactive
Address
Bala Cynwyd PA 19004
medicinepa.com
ID 37576820
LAST UPDATED 2024-04-16 04:20:17 UTC

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