STEPHEN HOLT JACKSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013237

License Status

EXPIRED

Business

First Name

STEPHEN HOLT

Last Name

JACKSON

Suffix

Business Name

STEPHEN HOLT JACKSON MD

Original Issue Date

06/30/1981

Effective Date

06/30/1981

Expiration Date

07/01/1983

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006