License holder summary

KENNETH DISTEFANO is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for KENNETH DISTEFANO is Montclair NJ 07042. This medical practitioner license is not current. The license was granted 07/25/2006 and expired on 07/31/2009.

Department of State

Board of Medicine

KENNETH DISTEFANO
Graduate Medical Trainee
License number
MT189605
Date granted
07/25/2006
Date expires
07/31/2009
Class
Graduate Medical Trainee
Status
Inactive
Address
Montclair NJ 07042
medicinepa.com
ID 37528163
LAST UPDATED 2024-05-14 04:38:20 UTC

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