License holder summary

ANTONIUS SUSATYO HADI is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for ANTONIUS SUSATYO HADI is WARREN OH 44484. This medical practitioner license is not current. The license was granted 04/21/1978 and expired on 12/31/2002.

Department of State

Board of Medicine

ANTONIUS SUSATYO HADI
Medical Physician And Surgeon
License number
MD020582E
Date granted
04/21/1978
Date expires
12/31/2002
Class
Medical Physician And Surgeon
Status
Inactive
Address
WARREN OH 44484
medicinepa.com
ID 37619018
LAST UPDATED 2024-05-01 05:53:20 UTC

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