Delaware
Division of Professional Regulation
Prudence Faith Jackson
Controlled Substances - Physician Csr
License number
DR-0010283
Date granted
07/29/2014
Date expires
06/30/2015
Class
Controlled Substances - Physician Csr
Status
Active
Address
Laurel MD 20723
delawarelicensing.com
ID 20539467
LAST UPDATED 2024-04-29 19:47:08 UTC
LAST UPDATED 2024-04-29 19:47:08 UTC
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