JAWDAT ALEXANDER NIKOULA
Medicine - Written Agreement
Pennsylvania MX002520 Inactive
This Pennsylvania license was held by JAWDAT ALEXANDER NIKOULA. The license is no longer active. It was granted on 04/26/2004
LICENSE DETAILS
- License Number: MX002520
- Category: Written Agreement
- Status: Inactive
- Date Granted: 04/26/2004 (over 22 years ago)
LOCATIONS
A Address
905 SPRUCE STREET Irwin PA 15642