PAULA JEAN JACKSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117778

License Status

NOT RENEWED

Business

First Name

PAULA

Middle

JEAN

Last Name

JACKSON

Suffix

Business Name

PAULA JEAN JACKSON MD

Original Issue Date

03/06/2007

Effective Date

03/06/2007

Expiration Date

07/31/2008

City

MT AIRY

State

Zip

21771

Ever Disciplined

LastModifiedDate

11/06/2008