License holder summary

JACKIE L RUSSELL is a Radiology Personnel - Auxiliary Person by Exam licensed to practice in Pennsylvania. The address on file for JACKIE L RUSSELL is NEW COLUMBIA PA 17856. This licensed professional license is current. The license was granted 08/16/2005.

Pennsylvania

Department of State

JACKIE L RUSSELL
Radiology Personnel - Auxiliary Person by Exam
License number
001366
Date granted
08/16/2005
Class
Radiology Personnel - Auxiliary Person by Exam
Status
Active
Address
NEW COLUMBIA PA 17856
palicensing.org
ID 17400679
LAST UPDATED 2024-04-09 13:01:02 UTC

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