License holder summary

PHYLLIS E JACKSON is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for PHYLLIS E JACKSON is YEADON PA 19050. This licensed professional license is current. The license was granted 03/08/1983 and expired on 12/31/2016.

Pennsylvania

Department of State

PHYLLIS E JACKSON
Medical Physician Assistant
License number
MA000510L
Date granted
03/08/1983
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
YEADON PA 19050
palicensing.org
ID 16632539
LAST UPDATED 2024-03-20 10:34:50 UTC

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