NATHAN TODD DERSTINE
Graduate Osteopathic Trainee
Pennsylvania OT009923 Inactive
This Pennsylvania license was held by NATHAN TODD DERSTINE. The license is no longer active. It was granted on 03/25/2002 and expired on 06/30/2005
LICENSE DETAILS
- License Number: OT009923
- Category: Graduate Osteopathic Trainee
- Status: Inactive
- Date Granted: 03/25/2002 (almost 23 years ago)
- Expiry Date: 06/30/2005 (over 19 years ago)
LOCATIONS
A Address
ALTOONA PA 16601-4882