Pennsylvania
Department of State
JUDITH PROPHETE
Medicine - Written Agreement
License number
MX002005
Date granted
10/10/2003
Class
Medicine - Written Agreement
Status
Inactive
Address
STATE CORRECTIONAL INSTITUTION @ MUNCY 6454 ROUTE 405 MUNCY PA 17756
palicensing.org
ID 16666773
LAST UPDATED 2024-04-19 20:28:20 UTC
LAST UPDATED 2024-04-19 20:28:20 UTC
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