License holder summary

DIANE ODOM JACKSON is a Physical Therapist licensed to practice in Pennsylvania. The address on file for DIANE ODOM JACKSON is MACUNGIE PA 18062. This licensed professional license is not current. The license was granted 12/11/1978 and expired on 12/31/1988.

Pennsylvania

Department of State

DIANE ODOM JACKSON
Physical Therapist
License number
PT000546E
Date granted
12/11/1978
Date expires
12/31/1988
Class
Physical Therapist
Status
Expired
Address
MACUNGIE PA 18062
palicensing.org
ID 17278468
LAST UPDATED 2024-04-14 17:04:29 UTC

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