License holder summary

MICHELLE TAMARA GAYE BALLENTYNE HYATT is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for MICHELLE TAMARA GAYE BALLENTYNE HYATT is Philadelphia PA 19135. This medical practitioner license is not current. The license was granted 06/03/2011 and expired on 06/23/2014.

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 2026-06-14 07:23:28 UTC

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