PETER MATTHEW KENNEDY DE BLANK
Graduate Medical Trainee
Pennsylvania MT186679 Inactive
This Pennsylvania license was held by PETER MATTHEW KENNEDY DE BLANK. The license is no longer active. It was granted on 05/27/2005 and expired on 06/30/2011
LICENSE DETAILS
- License Number: MT186679
- Category: Graduate Medical Trainee
- Status: Inactive
- Date Granted: 05/27/2005 (about 19 years ago)
- Expiry Date: 06/30/2011 (almost 13 years ago)
LOCATIONS
A Address
SAN FRANCISCO CA 94122