License holder summary

RICHARD GALEN DEIVERT is a Medicine - Athletic Trainer licensed to practice in Pennsylvania. The address on file for RICHARD GALEN DEIVERT is Fairfax VA 22030. This licensed professional license is not current. The license was granted 11/09/1987 and expired on 12/31/2006.

Pennsylvania

Department of State

RICHARD GALEN DEIVERT
Medicine - Athletic Trainer
License number
RT000408A
Date granted
11/09/1987
Date expires
12/31/2006
Class
Medicine - Athletic Trainer
Status
Inactive
Address
Fairfax VA 22030
palicensing.org
ID 16620913
LAST UPDATED 2024-04-22 02:08:50 UTC

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