KATIE E JACKSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****40

License Status

ACTIVE

Business

First Name

KATIE

Middle

Last Name

JACKSON

Business Name

KATIE E JACKSON

Original Issue Date

10/30/2012

Effective Date

02/06/2026

Expiration Date

03/01/2028

City

ELDORADO

State

Zip

62930

County

SALINE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/06/2026