License holder summary

HUBERT FORNALIK is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for HUBERT FORNALIK is CARMEL IN 46074. This medical practitioner license is not current. The license was granted 05/28/2003 and expired on 06/30/2007.

Department of State

Board of Medicine

HUBERT FORNALIK
Graduate Medical Trainee
License number
MT181806
Date granted
05/28/2003
Date expires
06/30/2007
Class
Graduate Medical Trainee
Status
Inactive
Address
CARMEL IN 46074
medicinepa.com
ID 37531311
LAST UPDATED 2024-02-28 04:44:58 UTC

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