MATTHEW SHANE PETRIE
Graduate Medical Trainee
Pennsylvania MT190065 Inactive
This Pennsylvania license was held by MATTHEW SHANE PETRIE. The license is no longer active. It was granted on 04/18/2007 and expired on 06/30/2010
LICENSE DETAILS
- License Number: MT190065
- Category: Graduate Medical Trainee
- Status: Inactive
- Date Granted: 04/18/2007 (about 17 years ago)
- Expiry Date: 06/30/2010 (about 14 years ago)
LOCATIONS
A Address
Winston Salem NC 27101