CHRISTINE JACKSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089278

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Last Name

JACKSON

Suffix

Business Name

CHRISTINE JACKSON MD

Original Issue Date

07/30/1994

Effective Date

07/30/1994

Expiration Date

07/31/1996

City

GUNNISON

State

Zip

84634

County

UTAH

Ever Disciplined

LastModifiedDate

09/20/2006