LUCIA FERNANDA FONTALVO-HERAZO
Medicine - Institutional License
Pennsylvania LT000622 Expired
This Pennsylvania license was held by LUCIA FERNANDA FONTALVO-HERAZO. The license is no longer active. It was granted on 04/02/2007 and expired on 04/01/2010
LICENSE DETAILS
- License Number: LT000622
- Category: Institutional License
- Status: Expired
- Date Granted: 04/02/2007 (about 18 years ago)
- Expiry Date: 04/01/2010 (about 15 years ago)
LOCATIONS
A Address
Philadelphia PA 19104