JEFFREY ALLAN LAVANIER
Medicine - Written Agreement
Pennsylvania MX009880 Inactive
This Pennsylvania license was held by JEFFREY ALLAN LAVANIER. The license is no longer active. It was granted on 12/17/2009
LICENSE DETAILS
- License Number: MX009880
- Category: Written Agreement
- Status: Inactive
- Date Granted: 12/17/2009 (over 15 years ago)
LOCATIONS
A Address
225 SOUTH CENTER AVENUE Somerset PA 15501