License holder summary

RANDALL TERENCE DRAIN is a Medicine - Written Agreement licensed to practice in Pennsylvania. The address on file for RANDALL TERENCE DRAIN is 4035 POWELTON AVE Philadelphia PA 19104. This licensed professional license is not current. The license was granted 02/20/2009.

Pennsylvania

Department of State

RANDALL TERENCE DRAIN
Medicine - Written Agreement
License number
MX008765
Date granted
02/20/2009
Class
Medicine - Written Agreement
Status
Inactive
Address
4035 POWELTON AVE Philadelphia PA 19104
palicensing.org
ID 16665615
LAST UPDATED 2024-03-29 00:19:33 UTC

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