KATHRYN ELIZABETH JACKSON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

Title

First Name

KATHRYN

Middle

ELIZABETH

Last Name

JACKSON

Business Name

KATHRYN ELIZABETH JACKSON DO

Original Issue Date

06/29/2015

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

FLORISSANT

State

Zip

63031

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023