EDWARD LEO MALLOY
Medicine - Written Agreement
Pennsylvania MX002104 Inactive
This Pennsylvania license was held by EDWARD LEO MALLOY. The license is no longer active. It was granted on 10/23/2003
LICENSE DETAILS
- License Number: MX002104
- Category: Written Agreement
- Status: Inactive
- Date Granted: 10/23/2003 (over 20 years ago)
LOCATIONS
A Address
1604 BURTNER ROAD NATRONA HEIGHTS PA 15065