License holder summary

JONATHAN D FISH is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for JONATHAN D FISH is Glen Oaks NY 11004. This medical practitioner license is not current. The license was granted 05/05/2004 and expired on 06/30/2007.

Department of State

Board of Medicine

JONATHAN D FISH
Graduate Medical Trainee
License number
MT183821
Date granted
05/05/2004
Date expires
06/30/2007
Class
Graduate Medical Trainee
Status
Inactive
Address
Glen Oaks NY 11004
medicinepa.com
ID 37531367
LAST UPDATED 2024-04-01 12:55:21 UTC

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