License holder summary

SALLY DIMSCHULTZ LANE is a Medicine - Written Agreement licensed to practice in Pennsylvania. The address on file for SALLY DIMSCHULTZ LANE is 5800 RIDGE AVE Philadelphia PA 19128. This licensed professional license is not current. The license was granted 07/17/2012.

Pennsylvania

Department of State

SALLY DIMSCHULTZ LANE
Medicine - Written Agreement
License number
MX013537
Date granted
07/17/2012
Class
Medicine - Written Agreement
Status
Inactive
Address
5800 RIDGE AVE Philadelphia PA 19128
palicensing.org
ID 16660498
LAST UPDATED 2024-04-01 01:22:10 UTC

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