License holder summary

JACKY BRUCE BLANK is a Graduate Medical Trainee licensed to practice in Pennsylvania. This medical practitioner license is not current. The license was granted 07/01/1985 and expired on 06/30/1986.

Department of State

Board of Medicine

JACKY BRUCE BLANK
Graduate Medical Trainee
License number
MT013083T
Date granted
07/01/1985
Date expires
06/30/1986
Class
Graduate Medical Trainee
Status
Inactive
medicinepa.com
ID 37517888
LAST UPDATED 2024-05-26 13:34:41 UTC

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