MICHAEL L JACKSON M D P C

Medical Licensing Board - Medical Corporation

Indiana  50004015A   Expired

This Indiana license was held by MICHAEL L JACKSON M D P C. The license is no longer active. It was granted on 11/24/1997 and expired on 01/31/2000

LICENSE DETAILS

  • License Number: 50004015A
  • Category: Medical Corporation
  • Status: Expired
  • Date Granted: 11/24/1997 (over 27 years ago)
  • Expiry Date: 01/31/2000 (about 25 years ago)

LOCATIONS

A Address

645 EAST NORTH SHORE DRIVE, BROWNSTOWN IN 47220