KAVITA SRIVASTAVA JACKSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171442

License Status

ACTIVE

Business

Title

First Name

KAVITA

Middle

SRIVASTAVA

Last Name

JACKSON

Business Name

KAVITA SRIVASTAVA JACKSON MD

Original Issue Date

08/04/2024

Effective Date

08/04/2024

Expiration Date

07/31/2026

City

GERMANTOWN

State

Zip

20874

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

08/04/2024