GLORIA JACKSON BACON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038566

License Status

INACTIVE

Business

First Name

GLORIA JACKSON

Last Name

BACON

Suffix

Business Name

GLORIA JACKSON BACON MD

Original Issue Date

01/01/1997

Effective Date

07/05/2011

Expiration Date

07/31/2014

City

NEW ORLEANS

State

Zip

70115

County

LOUISIANA

Ever Disciplined

LastModifiedDate

04/08/2014