Pennsylvania
Department of State
JONATHAN E JACKS
Practical Nurse Temporary Permit
License number
PN001328Y
Date granted
09/03/1997
Date expires
09/30/1998
Class
Practical Nurse Temporary Permit
Status
Inactive
Address
MT LAKE PARK MD 21550
palicensing.org
ID 16883140
LAST UPDATED 2026-04-02 16:08:53 UTC
LAST UPDATED 2026-04-02 16:08:53 UTC
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