Indiana
Professional Licensing Agency
MICHAEL L JACKSON M D P C
Medical Licensing Board - Medical Corporation
License number
50004015A
Date granted
11/24/1997
Date expires
01/31/2000
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
645 EAST NORTH SHORE DRIVE, BROWNSTOWN IN 47220
indianalicensing.org
ID 24824325
LAST UPDATED 2024-03-02 09:26:52 UTC
LAST UPDATED 2024-03-02 09:26:52 UTC
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