JEAN T JACKSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050208

License Status

INACTIVE

Business

First Name

JEAN T

Last Name

JACKSON

Suffix

Business Name

JEAN T JACKSON MD

Original Issue Date

10/16/1974

Effective Date

10/16/1974

Expiration Date

07/31/1999

City

MARQUETTE

State

Zip

49855

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006