KENNETH GORDON LAVELLE
Graduate Medical Trainee
Pennsylvania MT183987 Inactive
This Pennsylvania license was held by KENNETH GORDON LAVELLE. The license is no longer active. It was granted on 05/11/2004 and expired on 06/19/2007
LICENSE DETAILS
- License Number: MT183987
- Category: Graduate Medical Trainee
- Status: Inactive
- Date Granted: 05/11/2004 (about 22 years ago)
- Expiry Date: 06/19/2007 (about 19 years ago)
LOCATIONS
A Address
Sewell NJ 08080