License holder summary

ALISAN FATHALIZADEH is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for ALISAN FATHALIZADEH is Goldsboro NC 27534. This medical practitioner license is current. The license was granted 04/25/2013 and expired on 06/30/2017.

Department of State

Board of Medicine

ALISAN FATHALIZADEH
Graduate Medical Trainee
License number
MT203559
Date granted
04/25/2013
Date expires
06/30/2017
Class
Graduate Medical Trainee
Status
Active
Address
Goldsboro NC 27534
medicinepa.com
ID 37531851
LAST UPDATED 2026-05-18 06:59:48 UTC

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