AMANDA NICKLES FADER
Graduate Medical Trainee
Pennsylvania MT179962 Inactive
This Pennsylvania license was held by AMANDA NICKLES FADER. The license is no longer active. It was granted on 05/20/2002 and expired on 06/19/2006
LICENSE DETAILS
- License Number: MT179962
- Category: Graduate Medical Trainee
- Status: Inactive
- Date Granted: 05/20/2002 (about 22 years ago)
- Expiry Date: 06/19/2006 (almost 18 years ago)
LOCATIONS
A Address
Arlington VA 22207