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Licensing details for: PTL 12840

Name: Hijazin, Amanda Munther

License Type: Postgraduate Training License

Primary Status: License Canceled Primary Status Definition

School Name: St. George's University School of Medicine

Graduation Year: 2023

Current Enrolled Postgraduate Training Program

Facility Name: HCA Healthcare Riverside Program

City: Riverside

State: California

Speciality: Neurology

Start Date: 07/01/2023

Anticipated End Date: 09/30/2025

Address of Record

4445 Magnolia Ave
RIVERSIDE CA 92501-4135
RIVERSIDE county
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Issuance Date

November 19, 2023

Expiration Date

N/A

Current Date / Time

April 3, 2026
4:13:21 AM

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Postgraduate Training License associated with Physician & Surgeon License

License/Registration Role: Postgraduate Training License

Related Party Role: Physician & Surgeon

Name: Hijazin, Amanda Munther

License/Registration Type: Physician's and Surgeon's

License Number: 205652 Primary Status: License Renewed & Current

Address :
10916 Downey Ave
DOWNEY CA 90241-3709
LOS ANGELES COUNTY

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