PAMELA D RANDOLPH-JACKSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

PAMELA

Middle

Last Name

RANDOLPH-JACKSON

Suffix

Business Name

PAMELA D RANDOLPH-JACKSON MD

Original Issue Date

10/07/1999

Effective Date

05/19/2014

Expiration Date

07/31/2017

City

FRANKLIN

State

Zip

37067

County

TENNESSEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020