License holder summary

MAISIE LEE JACKSON is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for MAISIE LEE JACKSON is Gonzales LA 70737. This medical practitioner license is not current. The license was granted 05/09/2011 and expired on 08/21/2015.

Department of State

Board of Medicine

MAISIE LEE JACKSON
Graduate Medical Trainee
License number
MT199254
Date granted
05/09/2011
Date expires
08/21/2015
Class
Graduate Medical Trainee
Status
Inactive
Address
Gonzales LA 70737
medicinepa.com
ID 37540618
LAST UPDATED 2024-03-02 03:02:26 UTC

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