License holder summary

JASON WESLEY BLACK is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for JASON WESLEY BLACK is *NO CITY PA 00000. This medical practitioner license is not current. The license was granted 06/24/1996 and expired on 06/23/1997.

Department of State

Board of Medicine

JASON WESLEY BLACK
Graduate Medical Trainee
License number
MT038897T
Date granted
06/24/1996
Date expires
06/23/1997
Class
Graduate Medical Trainee
Status
Inactive
Address
*NO CITY PA 00000
medicinepa.com
ID 37519479
LAST UPDATED 2026-06-09 07:00:10 UTC

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