License holder summary

NICHOLAS L DEPACE is a Medicine - Written Agreement licensed to practice in Pennsylvania. The address on file for NICHOLAS L DEPACE is 2424 SOUTH BROAD STREET PHILADELPHIA PA 19145. This licensed professional license is not current. The license was granted 07/01/2003.

Pennsylvania

Department of State

NICHOLAS L DEPACE
Medicine - Written Agreement
License number
MX001667
Date granted
07/01/2003
Class
Medicine - Written Agreement
Status
Inactive
Address
2424 SOUTH BROAD STREET PHILADELPHIA PA 19145
palicensing.org
ID 16661528
LAST UPDATED 2024-03-22 17:47:14 UTC

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