License holder summary

ANISHA NICOLE JACKSON is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for ANISHA NICOLE JACKSON is Johnstown PA 15905. This licensed professional license is not current. The license was granted 05/28/2009 and expired on 12/31/2010.

Pennsylvania

Department of State

ANISHA NICOLE JACKSON
Medical Physician Assistant
License number
MA053854
Date granted
05/28/2009
Date expires
12/31/2010
Class
Medical Physician Assistant
Status
Expired
Address
Johnstown PA 15905
palicensing.org
ID 16638719
LAST UPDATED 2024-03-18 23:09:57 UTC

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