License holder summary

MARY J IM is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for MARY J IM is Philadelphia PA 19128. This medical practitioner license is not current. The license was granted 02/15/2005 and expired on 07/31/2009.

Department of State

Board of Medicine

MARY J IM
Graduate Medical Trainee
License number
MT185398
Date granted
02/15/2005
Date expires
07/31/2009
Class
Graduate Medical Trainee
Status
Inactive
Address
Philadelphia PA 19128
medicinepa.com
ID 37539260
LAST UPDATED 2024-02-28 19:01:26 UTC

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