ROBERT WAYNE JACKSON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144475

License Status

ACTIVE

Business

Title

First Name

ROBERT

Middle

WAYNE

Last Name

JACKSON

Business Name

ROBERT WAYNE JACKSON DO

Original Issue Date

10/11/2017

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

KIRKSVILLE

State

Zip

63501

County

MISSOURI

Ever Disciplined

LastModifiedDate

06/10/2023