License holder summary

KRISTYN TIFFANY FAGERBERG is a Medical Interim Limited licensed to practice in Pennsylvania. The address on file for KRISTYN TIFFANY FAGERBERG is HARRISBURG PA 17112. This licensed professional license is not current. The license was granted 01/30/1996.

Pennsylvania

Department of State

KRISTYN TIFFANY FAGERBERG
Medical Interim Limited
License number
ML001345L
Date granted
01/30/1996
Class
Medical Interim Limited
Status
Inactive
Address
HARRISBURG PA 17112
palicensing.org
ID 16623656
LAST UPDATED 2026-05-12 21:44:03 UTC

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