License holder summary

ANNE NIESENBAUM is a Temporary Medical Doctor License licensed to practice in Pennsylvania. The address on file for ANNE NIESENBAUM is HONESDALE PA 18431. This licensed professional license is not current. The license was granted 06/02/1997.

Pennsylvania

Department of State

ANNE NIESENBAUM
Temporary Medical Doctor License
License number
TL000693L
Date granted
06/02/1997
Class
Temporary Medical Doctor License
Status
Expired
Address
HONESDALE PA 18431
palicensing.org
ID 16649947
LAST UPDATED 2024-02-11 14:28:42 UTC

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