License holder summary

Jason Fodeman is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for Jason Fodeman is Philadelphia PA 19102. This medical practitioner license is current. The license was granted 01/11/2016 and expired on 12/31/2016.

Department of State

Board of Medicine

Jason Fodeman
Medical Physician And Surgeon
License number
MD456893
Date granted
01/11/2016
Date expires
12/31/2016
Class
Medical Physician And Surgeon
Status
Active
Address
Philadelphia PA 19102
medicinepa.com
ID 37611794
LAST UPDATED 2024-02-20 17:36:06 UTC

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