DEBRA K JACKSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030828

License Status

EXPIRED

Business

Title

First Name

DEBRA K

Last Name

JACKSON

Business Name

DEBRA K JACKSON MD

Original Issue Date

04/07/1994

Effective Date

04/07/1994

Expiration Date

04/30/1997

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006