License holder summary

JIMMY LEE FAIRFAX is a Medicine - Athletic Trainer licensed to practice in Pennsylvania. The address on file for JIMMY LEE FAIRFAX is Reading PA 19604. This licensed professional license is not current. The license was granted 12/28/2004 and expired on 12/31/2008.

Pennsylvania

Department of State

JIMMY LEE FAIRFAX
Medicine - Athletic Trainer
License number
RT003633
Date granted
12/28/2004
Date expires
12/31/2008
Class
Medicine - Athletic Trainer
Status
Expired
Address
Reading PA 19604
palicensing.org
ID 16618421
LAST UPDATED 2024-03-28 18:54:06 UTC

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