License holder summary

FABIAN ALBERTO MENDOZA BALLESTEROS is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for FABIAN ALBERTO MENDOZA BALLESTEROS is Philadelphia PA 19103. This medical practitioner license is not current. The license was granted 04/10/2003 and expired on 06/30/2006.

Department of State

Board of Medicine

FABIAN ALBERTO MENDOZA BALLESTEROS
Graduate Medical Trainee
License number
MT181154
Date granted
04/10/2003
Date expires
06/30/2006
Class
Graduate Medical Trainee
Status
Inactive
Address
Philadelphia PA 19103
medicinepa.com
ID 37551651
LAST UPDATED 2024-04-05 00:43:05 UTC

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