License holder summary

Justin Johannesen is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for Justin Johannesen is Philadelphia PA 19130. This medical practitioner license is current. The license was granted 06/19/2013 and expired on 06/30/2016.

Department of State

Board of Medicine

Justin Johannesen
Graduate Medical Trainee
License number
MT205228
Date granted
06/19/2013
Date expires
06/30/2016
Class
Graduate Medical Trainee
Status
Active
Address
Philadelphia PA 19130
medicinepa.com
ID 37540744
LAST UPDATED 2024-02-01 20:28:26 UTC

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