BROOKE ASHLEIGH JACKSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002103

License Status

ACTIVE

Business

First Name

BROOKE

Middle

ASHLEIGH

Last Name

JACKSON

Business Name

BROOKE ASHLEIGH JACKSON

Original Issue Date

10/01/2003

Effective Date

02/03/2026

Expiration Date

03/01/2028

City

EDDYVILLE

State

Zip

62928

County

POPE

Ever Disciplined

LastModifiedDate

02/03/2026