Department of State
Board of Medicine
LACIANNA MIA JOHNSON
Graduate Medical Trainee
License number
MT050308T
Date granted
06/23/2001
Date expires
07/17/2004
Class
Graduate Medical Trainee
Status
Expired
Address
NO CITY PA 00000
medicinepa.com
ID 37540186
LAST UPDATED 2024-04-12 03:32:23 UTC
LAST UPDATED 2024-04-12 03:32:23 UTC
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