TEIG J PORT
Medicine - Written Agreement
Pennsylvania MX043662E Inactive
This Pennsylvania license was held by TEIG J PORT. The license is no longer active. It was granted on 06/04/1998
LICENSE DETAILS
- License Number: MX043662E
- Category: Written Agreement
- Status: Inactive
- Date Granted: 06/04/1998 (about 27 years ago)
LOCATIONS
A Address
231 NORTHERN BOULEVARD CLARKS SUMMIT PA 18411