License holder summary

LITA RETNOWATI BUDIAMAL is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for LITA RETNOWATI BUDIAMAL is CENTERVILLE OH 45459. This medical practitioner license is not current. The license was granted 06/27/1980 and expired on 12/31/1998.

Department of State

Board of Medicine

LITA RETNOWATI BUDIAMAL
Medical Physician And Surgeon
License number
MD023670E
Date granted
06/27/1980
Date expires
12/31/1998
Class
Medical Physician And Surgeon
Status
Inactive
Address
CENTERVILLE OH 45459
medicinepa.com
ID 37585974
LAST UPDATED 2026-05-16 07:32:37 UTC

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