GINA DENISE JEFFERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132378

License Status

NOT RENEWED

Business

Title

First Name

GINA

Middle

DENISE

Last Name

JEFFERSON

Business Name

GINA DENISE JEFFERSON MD

Original Issue Date

04/11/2013

Effective Date

09/22/2020

Expiration Date

07/31/2023

City

JACKSON

State

Zip

39216

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023