Pennsylvania
Department of State
SHANE BRO CARSON
Graduate Osteopathic Trainee
License number
OT010494
Date granted
04/30/2003
Date expires
06/30/2005
Class
Graduate Osteopathic Trainee
Status
Inactive
Address
Southfield MI 48034
palicensing.org
ID 16984052
LAST UPDATED 2026-06-02 07:29:56 UTC
LAST UPDATED 2026-06-02 07:29:56 UTC
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