License holder summary

JODI DEW SOUTHAM is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for JODI DEW SOUTHAM is Hershey PA 17033-0850. This medical practitioner license is not current. The license was granted 06/02/2005 and expired on 06/30/2010.

Department of State

Board of Medicine

JODI DEW SOUTHAM
Graduate Medical Trainee
License number
MT186754
Date granted
06/02/2005
Date expires
06/30/2010
Class
Graduate Medical Trainee
Status
Inactive
Address
Hershey PA 17033-0850
medicinepa.com
ID 37569100
LAST UPDATED 2026-04-23 10:33:13 UTC

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