License holder summary

KATHLEEN ELISSA FANE is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for KATHLEEN ELISSA FANE is Philadelphia PA 19107. This medical practitioner license is not current. The license was granted 05/28/2010 and expired on 06/30/2013.

Department of State

Board of Medicine

KATHLEEN ELISSA FANE
Graduate Medical Trainee
License number
MT198010
Date granted
05/28/2010
Date expires
06/30/2013
Class
Graduate Medical Trainee
Status
Inactive
Address
Philadelphia PA 19107
medicinepa.com
ID 37531704
LAST UPDATED 2024-03-30 02:21:41 UTC

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