PETA-GAY MARIE JACKSON-BOOTH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160834

License Status

ACTIVE

Business

Title

First Name

PETA-GAY

Middle

MARIE

Last Name

JACKSON-BOOTH

Business Name

PETA-GAY MARIE JACKSON-BOOTH MD

Original Issue Date

06/10/2022

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

LAUREL

State

Zip

20707

Ever Disciplined

LastModifiedDate

05/31/2024