License holder summary

FAN XI is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for FAN XI is Cheltenham PA 19012. This medical practitioner license is not current. The license was granted 07/19/2001 and expired on 11/01/2005.

Department of State

Board of Medicine

FAN XI
Graduate Medical Trainee
License number
MT178607
Date granted
07/19/2001
Date expires
11/01/2005
Class
Graduate Medical Trainee
Status
Inactive
Address
Cheltenham PA 19012
medicinepa.com
ID 37577862
LAST UPDATED 2024-03-02 07:57:17 UTC

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