License holder summary

KENNETH RICHARD NISSIM is a Temporary Medical Doctor License licensed to practice in Pennsylvania. The address on file for KENNETH RICHARD NISSIM is Equinunk PA 18417. This licensed professional license is not current. The license was granted 06/23/2010 and expired on 08/14/2010.

Pennsylvania

Department of State

KENNETH RICHARD NISSIM
Temporary Medical Doctor License
License number
TMD002862
Date granted
06/23/2010
Date expires
08/14/2010
Class
Temporary Medical Doctor License
Status
Expired
Address
Equinunk PA 18417
palicensing.org
ID 16651372
LAST UPDATED 2024-04-01 01:38:45 UTC

This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.

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