License holder summary

NICOLE ALYSSA EMMA DIETZ is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for NICOLE ALYSSA EMMA DIETZ is Philadelphia PA 19143. This medical practitioner license is not current. The license was granted 05/03/2006 and expired on 07/13/2010.

Department of State

Board of Medicine

NICOLE ALYSSA EMMA DIETZ
Graduate Medical Trainee
License number
MT188609
Date granted
05/03/2006
Date expires
07/13/2010
Class
Graduate Medical Trainee
Status
Inactive
Address
Philadelphia PA 19143
medicinepa.com
ID 37528127
LAST UPDATED 2024-02-15 16:20:25 UTC

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