Department of State
Board of Medicine
SHANE LEWIS PETERSEN
Graduate Medical Trainee
License number
MT049513T
Date granted
06/24/2001
Date expires
06/23/2002
Class
Graduate Medical Trainee
Status
Inactive
Address
NO CITY PA 00000
medicinepa.com
ID 37558776
LAST UPDATED 2024-04-25 17:19:10 UTC
LAST UPDATED 2024-04-25 17:19:10 UTC
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