License holder summary

PANDA PRUTASERANEE is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for PANDA PRUTASERANEE is Hershey PA 17033. This medical practitioner license is not current. The license was granted 05/11/2006 and expired on 06/30/2007.

Department of State

Board of Medicine

PANDA PRUTASERANEE
Graduate Medical Trainee
License number
MT188839
Date granted
05/11/2006
Date expires
06/30/2007
Class
Graduate Medical Trainee
Status
Inactive
Address
Hershey PA 17033
medicinepa.com
ID 37559376
LAST UPDATED 2024-04-15 07:58:09 UTC

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