PHILLIP BALK
Medicine - Written Agreement
Pennsylvania MX010179 Inactive
This Pennsylvania license was held by PHILLIP BALK. The license is no longer active. It was granted on 04/01/2010
LICENSE DETAILS
- License Number: MX010179
- Category: Written Agreement
- Status: Inactive
- Date Granted: 04/01/2010 (about 15 years ago)
LOCATIONS
A Address
SCI FAYETTE MEDICAL OFFICE 50 OVERLOOK DRIVE La Belle PA 15450