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 2026-04-13 15:14:32 UTC
LAST UPDATED 2026-04-13 15:14:32 UTC
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