License holder summary

NATHAN TODD DERSTINE is a Graduate Osteopathic Trainee licensed to practice in Pennsylvania. The address on file for NATHAN TODD DERSTINE is ALTOONA PA 16601-4882. This licensed professional license is not current. The license was granted 03/25/2002 and expired on 06/30/2005.

Pennsylvania

Department of State

NATHAN TODD DERSTINE
Graduate Osteopathic Trainee
License number
OT009923
Date granted
03/25/2002
Date expires
06/30/2005
Class
Graduate Osteopathic Trainee
Status
Inactive
Address
ALTOONA PA 16601-4882
palicensing.org
ID 16983168
LAST UPDATED 2024-03-10 02:33:39 UTC

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