License holder summary

KEITH ALAN LUSTIG is a Medicine - Written Agreement licensed to practice in Pennsylvania. The address on file for KEITH ALAN LUSTIG is 2151 SHENANGO VALLEY FREEWAY Hermitage PA 16148. This licensed professional license is not current. The license was granted 09/11/2012.

Pennsylvania

Department of State

KEITH ALAN LUSTIG
Medicine - Written Agreement
License number
MX013821
Date granted
09/11/2012
Class
Medicine - Written Agreement
Status
Inactive
Address
2151 SHENANGO VALLEY FREEWAY Hermitage PA 16148
palicensing.org
ID 16663036
LAST UPDATED 2024-03-22 12:21:02 UTC

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