License holder summary

JACK LEE MARTIN is a Medicine - Written Agreement licensed to practice in Pennsylvania. The address on file for JACK LEE MARTIN is 830 OLD LANCASTER ROAD SUITE 105 NORTH MEDICAL BUILDING Bryn Mawr PA 19010. This licensed professional license is not current. The license was granted 04/26/1995.

Pennsylvania

Department of State

JACK LEE MARTIN
Medicine - Written Agreement
License number
MX022890E
Date granted
04/26/1995
Class
Medicine - Written Agreement
Status
Inactive
Address
830 OLD LANCASTER ROAD SUITE 105 NORTH MEDICAL BUILDING Bryn Mawr PA 19010
palicensing.org
ID 16661411
LAST UPDATED 2024-05-03 08:57:01 UTC

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