License holder summary

KATHERINE MARIE THEISEN is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for KATHERINE MARIE THEISEN is Elko MN 55020. This medical practitioner license is current. The license was granted 05/29/2013 and expired on 06/30/2016.

Department of State

Board of Medicine

KATHERINE MARIE THEISEN
Graduate Medical Trainee
License number
MT204646
Date granted
05/29/2013
Date expires
06/30/2016
Class
Graduate Medical Trainee
Status
Active
Address
Elko MN 55020
medicinepa.com
ID 37573599
LAST UPDATED 2024-04-15 15:15:01 UTC

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