License holder summary

JACOB BLAINE OLDHAM is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for JACOB BLAINE OLDHAM is Edgewood NM 87015. This medical practitioner license is not current. The license was granted 08/13/2002 and expired on 12/31/2006.

Department of State

Board of Medicine

JACOB BLAINE OLDHAM
Medical Physician And Surgeon
License number
MD420369
Date granted
08/13/2002
Date expires
12/31/2006
Class
Medical Physician And Surgeon
Status
Inactive
Address
Edgewood NM 87015
medicinepa.com
ID 37654991
LAST UPDATED 2026-04-08 14:40:45 UTC

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