License holder summary

PRUDENCE FAITH JACKSON is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for PRUDENCE FAITH JACKSON is Laurel MD 20723. This medical practitioner license is current. The license was granted 04/20/2015 and expired on 12/31/2016.

Department of State

Board of Medicine

PRUDENCE FAITH JACKSON
Medical Physician And Surgeon
License number
MD454610
Date granted
04/20/2015
Date expires
12/31/2016
Class
Medical Physician And Surgeon
Status
Active
Address
Laurel MD 20723
medicinepa.com
ID 37627408
LAST UPDATED 2026-04-13 06:49:26 UTC

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