License holder summary

JACK FACCIOLO is a Osteopathic Physician and Surgeon licensed to practice in Pennsylvania. The address on file for JACK FACCIOLO is MARLTON NJ 08053. This licensed professional license is not current. The license was granted 07/01/1981 and expired on 10/31/1984.

Pennsylvania

Department of State

JACK FACCIOLO
Osteopathic Physician and Surgeon
License number
OS004592L
Date granted
07/01/1981
Date expires
10/31/1984
Class
Osteopathic Physician and Surgeon
Status
Inactive
Address
MARLTON NJ 08053
palicensing.org
ID 16990989
LAST UPDATED 2024-03-01 05:34:22 UTC

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