Pennsylvania
Department of State
MARK CHARLES WALLEN
Medicine - Written Agreement
License number
MX001692
Date granted
06/13/2003
Class
Medicine - Written Agreement
Status
Active
Address
LIVENGRIN FOUNDATION 4833 HULMEVILLE ROAD BENSALEM PA 19020
palicensing.org
ID 16660612
LAST UPDATED 2026-04-09 18:29:40 UTC
LAST UPDATED 2026-04-09 18:29:40 UTC
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