CLAUDETTE FAE JACKSON
Licensed Physician Assistant
Illinois 085002210 Not Renewed
This Illinois license was held by CLAUDETTE FAE JACKSON. The license is no longer active. It was granted on 02/13/2004 and expired on 03/01/2008
LICENSE DETAILS
- License Number: 085002210
- Category: LICENSED PHYSICIAN ASSISTANT
- Status: Not Renewed
- Date Granted: 02/13/2004 (over 20 years ago)
- Expiry Date: 03/01/2008 (about 16 years ago)
LOCATIONS
A Address
LOUISVILLE, KY 40299