SANDY NICOLE JACKSON DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038010239

License Status

NOT RENEWED

Business

First Name

SANDY

Middle

NICOLE

Last Name

JACKSON

Suffix

Business Name

SANDY NICOLE JACKSON DC

Original Issue Date

09/09/2004

Effective Date

08/01/2005

Expiration Date

07/31/2008

City

MANCHESTER

State

Zip

63011

Ever Disciplined

LastModifiedDate

11/06/2008