JULIE ANNE JACKSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127766

License Status

NOT RENEWED

Business

First Name

JULIE

Middle

ANNE

Last Name

JACKSON

Business Name

JULIE ANNE JACKSON

Original Issue Date

05/03/2011

Effective Date

05/26/2014

Expiration Date

07/31/2017

City

SALT LAKE CITY

State

Zip

84105

County

UTAH

Ever Disciplined

LastModifiedDate

11/01/2017