License holder summary

AGNES TAN LARDIZABAL is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for AGNES TAN LARDIZABAL is PHOENIX AZ 85027-4858. This medical practitioner license is not current. The license was granted 08/02/1984 and expired on 12/31/1988.

Department of State

Board of Medicine

AGNES TAN LARDIZABAL
Medical Physician And Surgeon
License number
MD032010E
Date granted
08/02/1984
Date expires
12/31/1988
Class
Medical Physician And Surgeon
Status
Inactive
Address
PHOENIX AZ 85027-4858
medicinepa.com
ID 37636589
LAST UPDATED 2024-03-10 03:05:23 UTC

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