JOANNA MAE JACKSON DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123053

License Status

INACTIVE

Business

First Name

JOANNA

Middle

MAE

Last Name

JACKSON

Suffix

Business Name

JOANNA MAE JACKSON DO

Original Issue Date

04/03/2009

Effective Date

05/03/2011

Expiration Date

07/31/2014

City

CARY

State

Zip

27518

Ever Disciplined

LastModifiedDate

06/25/2014