License holder summary

JACK WALLACE CONKLIN is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for JACK WALLACE CONKLIN is PROVIDENCE RI 02906. This licensed professional license is not current. The license was granted 07/20/1955 and expired on 12/31/1976.

Pennsylvania

Department of State

JACK WALLACE CONKLIN
Medical Physician And Surgeon
License number
MD004718E
Date granted
07/20/1955
Date expires
12/31/1976
Class
Medical Physician And Surgeon
Status
Deceased
Address
PROVIDENCE RI 02906
palicensing.org
ID 16626946
LAST UPDATED 2024-03-30 13:28:56 UTC

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