License holder summary

GRANT COWAN CLARK is a Medicine - Written Agreement licensed to practice in Pennsylvania. The address on file for GRANT COWAN CLARK is SCI MAHONOY MEDICAL DEPT 301 MOREA ROAD Frackville PA 17932. This licensed professional license is not current. The license was granted 09/21/2001.

Pennsylvania

Department of State

GRANT COWAN CLARK
Medicine - Written Agreement
License number
MX000104
Date granted
09/21/2001
Class
Medicine - Written Agreement
Status
Inactive
Address
SCI MAHONOY MEDICAL DEPT 301 MOREA ROAD Frackville PA 17932
palicensing.org
ID 16660501
LAST UPDATED 2024-04-20 20:24:58 UTC

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