License holder summary

KEZIAH ANTOINETT SULLY is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for KEZIAH ANTOINETT SULLY is College Station TX 77845. This medical practitioner license is not current. The license was granted 06/20/2012 and expired on 06/30/2015.

Department of State

Board of Medicine

KEZIAH ANTOINETT SULLY
Graduate Medical Trainee
License number
MT202739
Date granted
06/20/2012
Date expires
06/30/2015
Class
Graduate Medical Trainee
Status
Inactive
Address
College Station TX 77845
medicinepa.com
ID 37570777
LAST UPDATED 2024-03-07 23:19:25 UTC

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