License holder summary

WISAM SHABA is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for WISAM SHABA is San Diego CA 92122. This medical practitioner license is not current. The license was granted 06/02/2008 and expired on 06/22/2009.

Department of State

Board of Medicine

WISAM SHABA
Graduate Medical Trainee
License number
MT193698
Date granted
06/02/2008
Date expires
06/22/2009
Class
Graduate Medical Trainee
Status
Expired
Address
San Diego CA 92122
medicinepa.com
ID 37569850
LAST UPDATED 2024-02-22 14:50:59 UTC

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