KATIE E JACKSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004431

License Status

ACTIVE

Business

First Name

KATIE

Middle

Last Name

JACKSON

Business Name

KATIE E JACKSON

Original Issue Date

08/29/2012

Effective Date

02/06/2026

Expiration Date

03/01/2028

City

ELDORADO

State

Zip

62930

County

SALINE

Ever Disciplined

LastModifiedDate

02/06/2026