The holder whose full name is Pickering, Jack Edward,come from Wynnewood PA,hold the Physician license(NO.01067850A) which status is Expired Non-Renewable.
| Name | Pickering, Jack Edward |
|---|---|
| License Number | 01067850A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Wynnewood |
| State | PA |