License holder summary

TANIA DAYANE FONTANEZ NIEVES is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for TANIA DAYANE FONTANEZ NIEVES is Brooklyn NY 11238. This medical practitioner license is not current. The license was granted 04/21/2011 and expired on 06/30/2014.

Department of State

Board of Medicine

TANIA DAYANE FONTANEZ NIEVES
Graduate Medical Trainee
License number
MT198940
Date granted
04/21/2011
Date expires
06/30/2014
Class
Graduate Medical Trainee
Status
Inactive
Address
Brooklyn NY 11238
medicinepa.com
ID 37531723
LAST UPDATED 2024-03-02 19:40:17 UTC

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