License holder summary

MARK ALLEN VAN ANTWERP is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for MARK ALLEN VAN ANTWERP is Yuma AZ 85364-4159. This medical practitioner license is not current. The license was granted 12/02/1992 and expired on 12/31/2004.

Department of State

Board of Medicine

MARK ALLEN VAN ANTWERP
Medical Physician And Surgeon
License number
MD048728L
Date granted
12/02/1992
Date expires
12/31/2004
Class
Medical Physician And Surgeon
Status
Inactive
Address
Yuma AZ 85364-4159
medicinepa.com
ID 37685642
LAST UPDATED 2024-03-31 04:11:04 UTC

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