License holder summary

LARA WINE LEE is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for LARA WINE LEE is Glenmoore PA 19343. This medical practitioner license is not current. The license was granted 04/30/2007 and expired on 07/28/2013.

Department of State

Board of Medicine

LARA WINE LEE
Graduate Medical Trainee
License number
MT190407
Date granted
04/30/2007
Date expires
07/28/2013
Class
Graduate Medical Trainee
Status
Expired
Address
Glenmoore PA 19343
medicinepa.com
ID 37577167
LAST UPDATED 2024-02-01 09:45:01 UTC

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