Pennsylvania
Department of State
HENRY H STREET
Osteopathic Physician and Surgeon
License number
OS004347L
Date granted
06/17/1980
Date expires
10/31/2000
Class
Osteopathic Physician and Surgeon
Status
Inactive
Address
LAPORTE PA 18626
palicensing.org
ID 16990607
LAST UPDATED 2024-04-29 03:13:53 UTC
LAST UPDATED 2024-04-29 03:13:53 UTC
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