BROOKE A JACKSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093014

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

Last Name

JACKSON

Suffix

Business Name

BROOKE A JACKSON MD

Original Issue Date

06/03/1996

Effective Date

01/08/2015

Expiration Date

07/31/2017

City

CHAPEL HILL

State

Zip

27517

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

11/01/2017