License holder summary

MIRIAM ELANA AGISIM is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for MIRIAM ELANA AGISIM is Norfolk VA 23507. This medical practitioner license is current. The license was granted 06/01/2013 and expired on 06/20/2016.

Department of State

Board of Medicine

MIRIAM ELANA AGISIM
Graduate Medical Trainee
License number
MT204726
Date granted
06/01/2013
Date expires
06/20/2016
Class
Graduate Medical Trainee
Status
Active
Address
Norfolk VA 23507
medicinepa.com
ID 37517192
LAST UPDATED 2024-04-27 16:51:47 UTC

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