License holder summary

AMANDA NICKLES FADER is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for AMANDA NICKLES FADER is Arlington VA 22207. This medical practitioner license is not current. The license was granted 05/20/2002 and expired on 06/19/2006.

Department of State

Board of Medicine

AMANDA NICKLES FADER
Graduate Medical Trainee
License number
MT179962
Date granted
05/20/2002
Date expires
06/19/2006
Class
Graduate Medical Trainee
Status
Inactive
Address
Arlington VA 22207
medicinepa.com
ID 37555062
LAST UPDATED 2024-04-26 16:12:44 UTC

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