KALLE MARC STIDHAM
Graduate Osteopathic Trainee
Pennsylvania OT010121 Expired
This Pennsylvania license was held by KALLE MARC STIDHAM. The license is no longer active. It was granted on 04/26/2002 and expired on 06/23/2003
LICENSE DETAILS
- License Number: OT010121
- Category: Graduate Osteopathic Trainee
- Status: Expired
- Date Granted: 04/26/2002 (about 23 years ago)
- Expiry Date: 06/23/2003 (almost 22 years ago)
LOCATIONS
A Address
PHILADELPHIA PA 19128