License holder summary

NICOLAS BUSTAMANTE is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for NICOLAS BUSTAMANTE is Glen Allen VA 23060. This medical practitioner license is not current. The license was granted 06/25/2012 and expired on 06/30/2014.

Department of State

Board of Medicine

NICOLAS BUSTAMANTE
Graduate Medical Trainee
License number
MT202864
Date granted
06/25/2012
Date expires
06/30/2014
Class
Graduate Medical Trainee
Status
Expired
Address
Glen Allen VA 23060
medicinepa.com
ID 37521558
LAST UPDATED 2024-03-26 05:47:56 UTC

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