License holder summary

TIMOTHY ALAN MIXON is a Temporary Medical Doctor License licensed to practice in Pennsylvania. The address on file for TIMOTHY ALAN MIXON is Philadelphia PA 19102. This licensed professional license is not current. The license was granted 04/04/2006 and expired on 05/11/2006.

Pennsylvania

Department of State

TIMOTHY ALAN MIXON
Temporary Medical Doctor License
License number
TMD002112
Date granted
04/04/2006
Date expires
05/11/2006
Class
Temporary Medical Doctor License
Status
Expired
Address
Philadelphia PA 19102
palicensing.org
ID 16650709
LAST UPDATED 2024-05-11 20:12:45 UTC

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