ATIBA DIARRA JACKSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125207

License Status

NOT RENEWED

Business

First Name

ATIBA

Middle

DIARRA

Last Name

JACKSON

Suffix

Business Name

ATIBA DIARRA JACKSON MD

Original Issue Date

03/16/2010

Effective Date

06/18/2014

Expiration Date

07/31/2017

City

WEST BURLINGTON

State

Zip

52655

County

IOWA

Ever Disciplined

LastModifiedDate

11/01/2017