DAVID JACKSON ADAMS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069819

License Status

NOT RENEWED

Business

First Name

DAVID JACKSON

Last Name

ADAMS

Business Name

DAVID JACKSON ADAMS

Original Issue Date

11/07/1984

Effective Date

11/07/1984

Expiration Date

07/31/1987

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

03/24/2007

Case Number

1984000668

Action

Revocation

Discipline Start Date

03/19/1986