License holder summary

TIMOTHY TAM HUTAGALUNG is a Dentist licensed to practice in Pennsylvania. The address on file for TIMOTHY TAM HUTAGALUNG is CANADA. This medical practitioner license is not current. The license was granted 06/12/1975 and expired on 03/31/2013.

Department of State

Board of Medicine

TIMOTHY TAM HUTAGALUNG
Dentist
License number
DS018999L
Date granted
06/12/1975
Date expires
03/31/2013
Class
Dentist
Status
Expired
Address
CANADA
medicinepa.com
ID 37430008
LAST UPDATED 2024-05-03 12:02:49 UTC

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