License holder summary

ANTHONY LEO CHIAVACCI is a Medicine - Written Agreement licensed to practice in Pennsylvania. The address on file for ANTHONY LEO CHIAVACCI is MEDICAL DEPARTMENT SCI WAYMART RT 6 CARBONDALE ROAD Waymart PA 18472. This licensed professional license is not current. The license was granted 11/02/2004.

Pennsylvania

Department of State

ANTHONY LEO CHIAVACCI
Medicine - Written Agreement
License number
MX003173
Date granted
11/02/2004
Class
Medicine - Written Agreement
Status
Inactive
Address
MEDICAL DEPARTMENT SCI WAYMART RT 6 CARBONDALE ROAD Waymart PA 18472
palicensing.org
ID 16665403
LAST UPDATED 2024-02-04 08:03:16 UTC

This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.

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