License holder summary

KINGSLEY IVAN BRYAN, II is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for KINGSLEY IVAN BRYAN, II is Clinton MD 20735-4310. This medical practitioner license is not current. The license was granted 06/15/2004 and expired on 06/17/2008.

Department of State

Board of Medicine

KINGSLEY IVAN BRYAN, II
Graduate Medical Trainee
License number
MT184913
Date granted
06/15/2004
Date expires
06/17/2008
Class
Graduate Medical Trainee
Status
Inactive
Address
Clinton MD 20735-4310
medicinepa.com
ID 37520511
LAST UPDATED 2024-03-03 09:30:33 UTC

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