Department of State
Board of Medicine
FERRIS MINOR HALL
Medical Physician And Surgeon
License number
MD028168L
Date granted
07/03/1962
Date expires
12/31/1962
Class
Medical Physician And Surgeon
Status
Expired
Address
PHILADELPHIA PA 19100
medicinepa.com
ID 37619714
LAST UPDATED 2026-03-17 06:35:20 UTC
LAST UPDATED 2026-03-17 06:35:20 UTC
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