License holder summary

KONSTANTIN DATESHIDZE is a Graduate Medical Trainee licensed to practice in Pennsylvania. This medical practitioner license is not current. The license was granted 07/01/1985 and expired on 09/15/1985.

Department of State

Board of Medicine

KONSTANTIN DATESHIDZE
Graduate Medical Trainee
License number
MT014000T
Date granted
07/01/1985
Date expires
09/15/1985
Class
Graduate Medical Trainee
Status
Inactive
medicinepa.com
ID 37526311
LAST UPDATED 2026-03-08 13:43:56 UTC

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