License holder summary

STEPHANIE SUSANNE GREEN is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for STEPHANIE SUSANNE GREEN is *NO CITY PA 00000. This medical practitioner license is not current. The license was granted 04/29/1998 and expired on 07/21/2000.

Department of State

Board of Medicine

STEPHANIE SUSANNE GREEN
Graduate Medical Trainee
License number
MT040446T
Date granted
04/29/1998
Date expires
07/21/2000
Class
Graduate Medical Trainee
Status
Inactive
Address
*NO CITY PA 00000
medicinepa.com
ID 37533587
LAST UPDATED 2024-03-20 06:50:20 UTC

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