KRISTYN TIFFANY FAGERBERG
Medical Physician And Surgeon
Pennsylvania MD061407L Expired
This Pennsylvania license was held by KRISTYN TIFFANY FAGERBERG. The license is no longer active. It was granted on 01/22/1997 and expired on 12/31/1998
LICENSE DETAILS
- License Number: MD061407L
- Category: Medical Physician and Surgeon
- Status: Expired
- Date Granted: 01/22/1997 (over 28 years ago)
- Expiry Date: 12/31/1998 (over 26 years ago)
LOCATIONS
A Address
HARRISBURG PA 17112