License holder summary

MATTHEW SHANE PETRIE is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for MATTHEW SHANE PETRIE is Winston Salem NC 27101. This medical practitioner license is not current. The license was granted 04/18/2007 and expired on 06/30/2010.

Department of State

Board of Medicine

MATTHEW SHANE PETRIE
Graduate Medical Trainee
License number
MT190065
Date granted
04/18/2007
Date expires
06/30/2010
Class
Graduate Medical Trainee
Status
Inactive
Address
Winston Salem NC 27101
medicinepa.com
ID 37559453
LAST UPDATED 2024-03-06 18:47:42 UTC

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