KENNETH EDWARD FASANELLA
Graduate Medical Trainee
Pennsylvania MT184431 Inactive
This Pennsylvania license was held by KENNETH EDWARD FASANELLA. The license is no longer active. It was granted on 05/19/2004 and expired on 06/30/2007
LICENSE DETAILS
- License Number: MT184431
- Category: Graduate Medical Trainee
- Status: Inactive
- Date Granted: 05/19/2004 (about 20 years ago)
- Expiry Date: 06/30/2007 (about 17 years ago)
LOCATIONS
A Address
Durham NC 27703