License holder summary

LONNIE M JACKSON is a Physician's Assistant - Physician Assistant licensed to practice in Michigan. The address on file for LONNIE M JACKSON is Chesterfield, MI 48047. This licensed professional license is not current. The license was granted 01/04/1994 and expired on 08/31/2014.

Michigan

Department of Licensing and Regulation

LONNIE M JACKSON
Physician's Assistant - Physician Assistant
License number
5601002260
Date granted
01/04/1994
Date expires
08/31/2014
Class
Physician's Assistant - Physician Assistant
Status
Lapsed
Address
Chesterfield, MI 48047
michiganlicensing.org
ID 25993035
LAST UPDATED 2024-03-08 10:07:09 UTC

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