License holder summary

TEIG J PORT is a Medicine - Written Agreement licensed to practice in Pennsylvania. The address on file for TEIG J PORT is 231 NORTHERN BOULEVARD CLARKS SUMMIT PA 18411. This licensed professional license is not current. The license was granted 06/04/1998.

Pennsylvania

Department of State

TEIG J PORT
Medicine - Written Agreement
License number
MX043662E
Date granted
06/04/1998
Class
Medicine - Written Agreement
Status
Inactive
Address
231 NORTHERN BOULEVARD CLARKS SUMMIT PA 18411
palicensing.org
ID 16666928
LAST UPDATED 2024-02-26 23:52:13 UTC

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