License holder summary

JESSICA BROOKE TIEDEBOHL is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for JESSICA BROOKE TIEDEBOHL is Lancaster PA 17601. This licensed professional license is current. The license was granted 06/07/2011 and expired on 12/31/2016.

Pennsylvania

Department of State

JESSICA BROOKE TIEDEBOHL
Medical Physician Assistant
License number
MA054908
Date granted
06/07/2011
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Lancaster PA 17601
palicensing.org
ID 16639730
LAST UPDATED 2026-04-13 19:37:52 UTC

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