Department of State
Board of Medicine
SANDRA LEE FORNWALT
Graduate Medical Trainee
License number
MT010788T
Date granted
07/01/1986
Date expires
06/30/1987
Class
Graduate Medical Trainee
Status
Inactive
Address
*NO CITY PA 00000
medicinepa.com
ID 37530070
LAST UPDATED 2024-04-25 12:00:40 UTC
LAST UPDATED 2024-04-25 12:00:40 UTC
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