Department of State
Board of Medicine
SAMUEL ALLEN FAGENHOLZ
Medical Physician And Surgeon
License number
MD021621E
Date granted
12/08/1978
Date expires
12/31/2016
Class
Medical Physician And Surgeon
Status
Active
Address
Erie PA 16508
medicinepa.com
ID 37608429
LAST UPDATED 2024-03-23 19:40:05 UTC
LAST UPDATED 2024-03-23 19:40:05 UTC
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