Pennsylvania
Department of State
JONATHON C SULLUM
Graduate Medical Trainee
License number
MT000566T
Date granted
07/01/1979
Date expires
06/30/1980
Class
Graduate Medical Trainee
Status
Inactive
Address
*NO CITY PA 00000
palicensing.org
ID 16622305
LAST UPDATED 2026-06-05 21:01:01 UTC
LAST UPDATED 2026-06-05 21:01:01 UTC
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