License holder summary

SHANE RANDALL TARTT is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for SHANE RANDALL TARTT is Annville PA 17003. This medical practitioner license is not current. The license was granted 05/18/2004 and expired on 06/30/2005.

Department of State

Board of Medicine

SHANE RANDALL TARTT
Graduate Medical Trainee
License number
MT184354
Date granted
05/18/2004
Date expires
06/30/2005
Class
Graduate Medical Trainee
Status
Expired
Address
Annville PA 17003
medicinepa.com
ID 37572918
LAST UPDATED 2026-05-31 04:24:20 UTC

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