License holder summary

JACOB A DODGE is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for JACOB A DODGE is Williamsport PA 17701. This medical practitioner license is current. The license was granted 07/01/2014 and expired on 08/30/2016.

Department of State

Board of Medicine

JACOB A DODGE
Graduate Medical Trainee
License number
MT207642
Date granted
07/01/2014
Date expires
08/30/2016
Class
Graduate Medical Trainee
Status
Active
Address
Williamsport PA 17701
medicinepa.com
ID 37528832
LAST UPDATED 2024-04-11 06:07:18 UTC

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