License holder summary

SHANNON H FOURTNER is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for SHANNON H FOURTNER is PHILADELPHIA PA 19107. This medical practitioner license is not current. The license was granted 03/28/2002 and expired on 06/30/2005.

Department of State

Board of Medicine

SHANNON H FOURTNER
Graduate Medical Trainee
License number
MT179145
Date granted
03/28/2002
Date expires
06/30/2005
Class
Graduate Medical Trainee
Status
Inactive
Address
PHILADELPHIA PA 19107
medicinepa.com
ID 37531253
LAST UPDATED 2026-06-05 06:34:54 UTC

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