LUCIENNE MARIE IDE
Graduate Medical Trainee
Pennsylvania MT195362 Inactive
This Pennsylvania license was held by LUCIENNE MARIE IDE. The license is no longer active. It was granted on 05/18/2009 and expired on 10/15/2010
LICENSE DETAILS
- License Number: MT195362
- Category: Graduate Medical Trainee
- Status: Inactive
- Date Granted: 05/18/2009 (about 15 years ago)
- Expiry Date: 10/15/2010 (over 13 years ago)
LOCATIONS
A Address
Atlanta GA 30306