KENNETH DISTEFANO
Graduate Medical Trainee
Pennsylvania MT189605 Inactive
This Pennsylvania license was held by KENNETH DISTEFANO. The license is no longer active. It was granted on 07/25/2006 and expired on 07/31/2009
LICENSE DETAILS
- License Number: MT189605
- Category: Graduate Medical Trainee
- Status: Inactive
- Date Granted: 07/25/2006 (almost 19 years ago)
- Expiry Date: 07/31/2009 (almost 16 years ago)
LOCATIONS
A Address
Montclair NJ 07042