CLAUDETTE FAE JACKSON - Physician Assistant License in Florida | # 085002210

CLAUDETTE FAE JACKSON

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002210

License Status

NOT RENEWED

Business

N

First Name

CLAUDETTE

Middle

FAE

Last Name

JACKSON

Business Name

CLAUDETTE FAE JACKSON

Original Issue Date

02/13/2004

Effective Date

02/13/2004

Expiration Date

03/01/2008

State

FL

Ever Disciplined

N

LastModifiedDate

08/16/2017