License holder summary

KENNETH EDWARD FASANELLA is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for KENNETH EDWARD FASANELLA is Durham NC 27703. This medical practitioner license is not current. The license was granted 05/19/2004 and expired on 06/30/2007.

Department of State

Board of Medicine

KENNETH EDWARD FASANELLA
Graduate Medical Trainee
License number
MT184431
Date granted
05/19/2004
Date expires
06/30/2007
Class
Graduate Medical Trainee
Status
Inactive
Address
Durham NC 27703
medicinepa.com
ID 37531388
LAST UPDATED 2024-03-29 00:30:05 UTC

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