License holder summary

KIMBERLY TANIS RUSSELL is a Graduate Medical Trainee licensed to practice in Pennsylvania. This medical practitioner license is not current. The license was granted 05/29/1997 and expired on 06/30/1999.

Department of State

Board of Medicine

KIMBERLY TANIS RUSSELL
Graduate Medical Trainee
License number
MT039065T
Date granted
05/29/1997
Date expires
06/30/1999
Class
Graduate Medical Trainee
Status
Inactive
medicinepa.com
ID 37562214
LAST UPDATED 2026-03-16 17:26:56 UTC

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