WILLIAM M JACKSON Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016000694

License Status

NOT RENEWED

Business

First Name

WILLIAM M

Last Name

JACKSON

Business Name

WILLIAM M JACKSON

Original Issue Date

01/01/1998

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/25/2006