Department of State
Board of Medicine
MICHELLE TAMARA GAYE BALLENTYNE HYATT
Graduate Medical Trainee
License number
MT200168
Date granted
06/03/2011
Date expires
06/23/2014
Class
Graduate Medical Trainee
Status
Inactive
Address
Philadelphia PA 19135
medicinepa.com
ID 37521420
LAST UPDATED 2024-03-10 21:46:32 UTC
LAST UPDATED 2024-03-10 21:46:32 UTC
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