Department of State
Board of Medicine
DIYA HASSAN TANTAWI
Graduate Medical Trainee
License number
MT200637
Date granted
07/07/2011
Date expires
09/06/2014
Class
Graduate Medical Trainee
Status
Expired
Address
Englewood NJ 07631
medicinepa.com
ID 37573456
LAST UPDATED 2026-04-02 03:52:40 UTC
LAST UPDATED 2026-04-02 03:52:40 UTC
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