DAVID BRUCE JACKSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121082

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

BRUCE

Last Name

JACKSON

Suffix

Business Name

DAVID BRUCE JACKSON MD

Original Issue Date

06/03/2008

Effective Date

06/03/2008

Expiration Date

07/31/2011

City

IRVINE

State

Zip

92603

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/14/2011