License holder summary

HIPOLITO MANCE CUSTODIO, III is a Graduate Medical Trainee licensed to practice in Pennsylvania. This medical practitioner license is not current. The license was granted 05/25/2005 and expired on 06/30/2009.

Department of State

Board of Medicine

HIPOLITO MANCE CUSTODIO, III
Graduate Medical Trainee
License number
MT186614
Date granted
05/25/2005
Date expires
06/30/2009
Class
Graduate Medical Trainee
Status
Inactive
medicinepa.com
ID 37524736
LAST UPDATED 2026-07-29 14:37:26 UTC

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