JOSEPH JAMES FAZALARE
Graduate Medical Trainee
Pennsylvania MT184453 Inactive
This Pennsylvania license was held by JOSEPH JAMES FAZALARE. The license is no longer active. It was granted on 05/19/2004 and expired on 06/30/2009
LICENSE DETAILS
- License Number: MT184453
- Category: Graduate Medical Trainee
- Status: Inactive
- Date Granted: 05/19/2004 (about 20 years ago)
- Expiry Date: 06/30/2009 (about 15 years ago)
LOCATIONS
A Address
Charleston WV 25304