ANTONIUS S HADISANTOSO
Graduate Medical Trainee
Pennsylvania MT000610T Inactive
This Pennsylvania license was held by ANTONIUS S HADISANTOSO. The license is no longer active. It was granted on 07/01/1980 and expired on 06/30/1981
LICENSE DETAILS
- License Number: MT000610T
- Category: Graduate Medical Trainee
- Status: Inactive
- Date Granted: 07/01/1980 (almost 44 years ago)
- Expiry Date: 06/30/1981 (almost 43 years ago)