License holder summary

JACK RICHARD WOODSIDE JR is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for JACK RICHARD WOODSIDE JR is JOHNSON CITY TN 37604. This medical practitioner license is not current. The license was granted 01/22/1980 and expired on 12/31/2002.

Department of State

Board of Medicine

JACK RICHARD WOODSIDE JR
Medical Physician And Surgeon
License number
MD023257E
Date granted
01/22/1980
Date expires
12/31/2002
Class
Medical Physician And Surgeon
Status
Inactive
Address
JOHNSON CITY TN 37604
medicinepa.com
ID 37687501
LAST UPDATED 2024-03-30 20:44:05 UTC

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