BROOKE ASHLEIGH JACKSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****88

License Status

ACTIVE

Business

First Name

BROOKE

Middle

ASHLEIGH

Last Name

JACKSON

Business Name

BROOKE ASHLEIGH JACKSON

Original Issue Date

11/03/2003

Effective Date

02/22/2024

Expiration Date

03/01/2026

City

EDDYVILLE

State

Zip

62928

County

POPE

Ever Disciplined

LastModifiedDate

12/03/2025