License holder summary

FANNY JANETH MANTILLA is a Graduate Osteopathic Trainee licensed to practice in Pennsylvania. The address on file for FANNY JANETH MANTILLA is NO CITY PA 00000. This licensed professional license is not current. The license was granted 07/01/2001 and expired on 06/30/2002.

Pennsylvania

Department of State

FANNY JANETH MANTILLA
Graduate Osteopathic Trainee
License number
OT007180T
Date granted
07/01/2001
Date expires
06/30/2002
Class
Graduate Osteopathic Trainee
Status
Expired
Address
NO CITY PA 00000
palicensing.org
ID 16982889
LAST UPDATED 2026-05-20 20:47:29 UTC

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