Department of State
Board of Medicine
PHILLIP MUCKSAVAGE
Graduate Medical Trainee
License number
MT184231
Date granted
05/15/2004
Date expires
10/31/2009
Class
Graduate Medical Trainee
Status
Inactive
Address
Cranford NJ 07016
medicinepa.com
ID 37551946
LAST UPDATED 2024-02-29 16:03:43 UTC
LAST UPDATED 2024-02-29 16:03:43 UTC
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