AUTUMN A JACKSON
Physician Assistant Controlled Substance
Illinois 385001775 Not Renewed
This Illinois license was held by AUTUMN A JACKSON. The license is no longer active. It was granted on 05/18/2007 and expired on 03/01/2010
LICENSE DETAILS
- License Number: 385001775
- Category: PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE
- Status: Not Renewed
- Date Granted: 05/18/2007 (about 18 years ago)
- Expiry Date: 03/01/2010 (about 15 years ago)
LOCATIONS
A Address
Elk Grove Village, IL 60007-3361