STEPHEN HOLT JACKSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065768

License Status

NOT RENEWED

Business

First Name

STEPHEN HOLT

Last Name

JACKSON

Suffix

Business Name

STEPHEN HOLT JACKSON MD

Original Issue Date

12/07/1982

Effective Date

09/18/2020

Expiration Date

07/31/2023

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

11/30/2023