License holder summary

GERALD CAESAR DETATA is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for GERALD CAESAR DETATA is TABERNACLE NJ 08088-9600. This medical practitioner license is not current. The license was granted 10/16/1991 and expired on 12/31/1994.

Department of State

Board of Medicine

GERALD CAESAR DETATA
Medical Physician And Surgeon
License number
MD045542L
Date granted
10/16/1991
Date expires
12/31/1994
Class
Medical Physician And Surgeon
Status
Inactive
Address
TABERNACLE NJ 08088-9600
medicinepa.com
ID 37603227
LAST UPDATED 2024-03-13 22:53:48 UTC

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