License holder summary

JACKIE A VICE-BLACK is a Psychologist licensed to practice in Pennsylvania. The address on file for JACKIE A VICE-BLACK is MEDIA PA 19063. This licensed professional license is not current. The license was granted 12/03/1979 and expired on 11/30/2005.

Pennsylvania

Department of State

JACKIE A VICE-BLACK
Psychologist
License number
PS003226L
Date granted
12/03/1979
Date expires
11/30/2005
Class
Psychologist
Status
Expired
Address
MEDIA PA 19063
palicensing.org
ID 17357498
LAST UPDATED 2024-02-23 09:11:28 UTC

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