License holder summary

MIAE OH is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for MIAE OH is Philadelphia PA 19130. This medical practitioner license is not current. The license was granted 06/04/2002 and expired on 06/30/2005.

Department of State

Board of Medicine

MIAE OH
Graduate Medical Trainee
License number
MT180582
Date granted
06/04/2002
Date expires
06/30/2005
Class
Graduate Medical Trainee
Status
Expired
Address
Philadelphia PA 19130
medicinepa.com
ID 37556360
LAST UPDATED 2026-06-04 01:04:22 UTC

This website is unaffiliated with the Board of Medicine. Please verify all information directly with the relevant official government authority.

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