License holder summary

JACLYN MARIE DIETZOLD is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for JACLYN MARIE DIETZOLD is Maplewood NJ 07040. This medical practitioner license is current. The license was granted 06/09/2014 and expired on 06/30/2017.

Department of State

Board of Medicine

JACLYN MARIE DIETZOLD
Graduate Medical Trainee
License number
MT207389
Date granted
06/09/2014
Date expires
06/30/2017
Class
Graduate Medical Trainee
Status
Active
Address
Maplewood NJ 07040
medicinepa.com
ID 37528798
LAST UPDATED 2026-06-30 23:45:09 UTC

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