License holder summary

SUSAN TAMARA DE WYNGAERT is a Graduate Medical Trainee licensed to practice in Pennsylvania. This medical practitioner license is not current. The license was granted 02/11/1993 and expired on 12/31/1999.

Department of State

Board of Medicine

SUSAN TAMARA DE WYNGAERT
Graduate Medical Trainee
License number
MT028331T
Date granted
02/11/1993
Date expires
12/31/1999
Class
Graduate Medical Trainee
Status
Inactive
medicinepa.com
ID 37526916
LAST UPDATED 2026-04-10 08:33:51 UTC

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