License holder summary

LARISSA V FOMITCHEVA is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for LARISSA V FOMITCHEVA is Brooklyn NY 11209. This medical practitioner license is not current. The license was granted 06/24/2002 and expired on 06/30/2003.

Department of State

Board of Medicine

LARISSA V FOMITCHEVA
Graduate Medical Trainee
License number
MT179427
Date granted
06/24/2002
Date expires
06/30/2003
Class
Graduate Medical Trainee
Status
Inactive
Address
Brooklyn NY 11209
medicinepa.com
ID 37531263
LAST UPDATED 2024-04-02 20:31:27 UTC

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