License holder summary

WIBISONO HARTOJO is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for WIBISONO HARTOJO is Alexandria VA 22304. This medical practitioner license is not current. The license was granted 06/08/2005 and expired on 06/30/2007.

Department of State

Board of Medicine

WIBISONO HARTOJO
Graduate Medical Trainee
License number
MT186864
Date granted
06/08/2005
Date expires
06/30/2007
Class
Graduate Medical Trainee
Status
Inactive
Address
Alexandria VA 22304
medicinepa.com
ID 37537818
LAST UPDATED 2024-04-16 14:58:29 UTC

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