MADGE ALLEENE JACKS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036022722

License Status

NOT RENEWED

Business

First Name

MADGE ALLEENE

Last Name

JACKS

Suffix

Business Name

MADGE ALLEENE JACKS MD

Original Issue Date

08/23/1938

Effective Date

08/23/1938

City

SAN LUIS OBISPO

State

Zip

93401

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006