License holder summary

AZMAT QAYYUM is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for AZMAT QAYYUM is NO CITY PA 00000. This medical practitioner license is not current. The license was granted 07/01/2000 and expired on 07/31/2004.

Department of State

Board of Medicine

AZMAT QAYYUM
Graduate Medical Trainee
License number
MT046578T
Date granted
07/01/2000
Date expires
07/31/2004
Class
Graduate Medical Trainee
Status
Inactive
Address
NO CITY PA 00000
medicinepa.com
ID 37560693
LAST UPDATED 2024-02-07 05:35:35 UTC

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