License holder summary

LILLY S LA PORTA is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for LILLY S LA PORTA is Philadelphia PA 19146. This medical practitioner license is not current. The license was granted 04/20/2006 and expired on 06/30/2011.

Department of State

Board of Medicine

LILLY S LA PORTA
Graduate Medical Trainee
License number
MT188134
Date granted
04/20/2006
Date expires
06/30/2011
Class
Graduate Medical Trainee
Status
Inactive
Address
Philadelphia PA 19146
medicinepa.com
ID 37547281
LAST UPDATED 2024-04-12 15:55:30 UTC

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