Pennsylvania
Department of State
JERRY G BLAIVAS
Temporary Medical Doctor License
License number
TL000688L
Date granted
05/15/1997
Class
Temporary Medical Doctor License
Status
Expired
Address
SCRANTON PA 18501
palicensing.org
ID 16649940
LAST UPDATED 2024-04-09 00:00:24 UTC
LAST UPDATED 2024-04-09 00:00:24 UTC
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