License holder summary

JERRY D SHAMBLIN is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for JERRY D SHAMBLIN is TIDIOUTE PA 16351. This medical practitioner license is not current. The license was granted 01/30/1969 and expired on 12/31/2012.

Department of State

Board of Medicine

JERRY D SHAMBLIN
Medical Physician And Surgeon
License number
MD010724E
Date granted
01/30/1969
Date expires
12/31/2012
Class
Medical Physician And Surgeon
Status
Inactive
Address
TIDIOUTE PA 16351
medicinepa.com
ID 37667980
LAST UPDATED 2026-04-25 21:05:23 UTC

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