License holder summary

JONATHAN BLANK is a Temporary Medical Doctor License licensed to practice in Pennsylvania. The address on file for JONATHAN BLANK is HONESDALE PA 18431. This licensed professional license is not current. The license was granted 04/12/2001 and expired on 12/31/2001.

Pennsylvania

Department of State

JONATHAN BLANK
Temporary Medical Doctor License
License number
TL000950L
Date granted
04/12/2001
Date expires
12/31/2001
Class
Temporary Medical Doctor License
Status
Expired
Address
HONESDALE PA 18431
palicensing.org
ID 16650220
LAST UPDATED 2024-04-22 19:54:12 UTC

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