License holder summary

MAINES LARISSA AVILES-SANTA is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for MAINES LARISSA AVILES-SANTA is RIO PIEDRAS PR 00926. This medical practitioner license is not current. The license was granted 04/24/1995 and expired on 12/31/1996.

Department of State

Board of Medicine

MAINES LARISSA AVILES-SANTA
Medical Physician And Surgeon
License number
MD055814L
Date granted
04/24/1995
Date expires
12/31/1996
Class
Medical Physician And Surgeon
Status
Inactive
Address
RIO PIEDRAS PR 00926
medicinepa.com
ID 37581689
LAST UPDATED 2024-04-12 00:14:22 UTC

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